Active NPI
Mark E Adlard Rancho Santa Margarita Family Medical Center
- Family Medicine Physician
- Rancho Santa Margarita, CA
National Provider Identifier
1164553293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G64159
- Legal business name
- MARK E ADLARD RANCHO SANTA MARGARITA FAMILY MEDICAL CENTER
- Practice address
- 22342 Avenida Empresa Ste 195
Mark E Adlard MD Rancho Santa Margarita Family Me
Rancho Santa Margarita, CA 92688-2140 - Phone
- (949) 858-7001
- Fax
- (949) 858-3826
- NPI assigned
- Mar 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark A Adlard, MD
- Title
- Owner
- Phone
- (949) 858-7001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G64159 | CA | Primary |
Addresses
Primary practice location
22342 Avenida Empresa Ste 195
Mark E Adlard MD Rancho Santa Margarita Family Me
Rancho Santa Margarita, CA 92688-2140
Mailing address
22342 Avenida Empresa Ste 195
Mark E Adlard MD Rancho Santa Margarita Family Me
Rancho Santa Margarita, CA 92688-2140
Phone (949) 858-7001
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G64159 | Other | CA | CA MEDICAL LICENSE # |
| ZZZ35743Z | Other | CA | BLUE SHIELD PROVIDER # |
| G64159 | Other | CA | LICENSE |
National Provider Directory
National Provider DirectoryLocations
22342 Avenida Empresa
Rancho Santa Margarita, CA 92688
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Rancho Santa Margarita, CA
- NPI 1346265766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1286928000000",
"number": "1164553293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22342 AVENIDA EMPRESA STE 195",
"address_2": "MARK E ADLARD MD RANCHO SANTA MARGARITA FAMILY ME",
"city": "RANCHO SANTA MARGARITA",
"state": "CA",
"postal_code": "926882140",
"telephone_number": "949-858-7001",
"fax_number": "949-858-3826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22342 AVENIDA EMPRESA STE 195",
"address_2": "MARK E ADLARD MD RANCHO SANTA MARGARITA FAMILY ME",
"city": "RANCHO SANTA MARGARITA",
"state": "CA",
"postal_code": "926882140",
"telephone_number": "949-858-7001",
"fax_number": "949-858-3826"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK E ADLARD RANCHO SANTA MARGARITA FAMILY MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-08",
"last_updated": "2010-10-13",
"status": "A",
"authorized_official_last_name": "ADLARD",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "949-858-7001",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "G64159",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA MEDICAL LICENSE #",
"identifier": "G64159",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROVIDER #",
"identifier": "ZZZ35743Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "G64159",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Santa Margarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.