Organization Active NPI

Mark E Adlard Rancho Santa Margarita Family Medical Center

  • Family Medicine Physician
  • Rancho Santa Margarita, CA
National Provider Identifier
1164553293
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G64159 Issued in CA
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

Updated by the provider on Oct 13, 2010

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
G64159OtherCACA MEDICAL LICENSE #
ZZZ35743ZOtherCABLUE SHIELD PROVIDER #
G64159OtherCALICENSE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.