Mark Recio

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95005957 Issued in CA

Practice address

3110 E Guasti Rd Ste 315
Ontario, CA 91761-1258

Phone

(346) 376-1702

Fax

(909) 466-4800

NPI assigned

Jan 26, 2017

Last updated

Sep 23, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mr. Mark Jose Recio Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seasons Medical Group of California IncorporatedGroup PAC ID 9234405952, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Seasons Medical Group of California Incorporated

  dba AccentCare Medical Group of California

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • San Diego, CA
  • NPI 1790239473
  Medicare reassignment Care Compare group NPD
• Access Alliance Medical Group, Inc

  • Primary Care Nurse Practitioner
  • Glendale, CA
  • NPI 1629534045
  Medicare reassignment NPD
• Akasi Wellness Group

  • Primary Care Nurse Practitioner
  • Sherman Oaks, CA
  • NPI 1932905387
  Medicare reassignment NPD
• Doctors on the Go Inc.

  • Internal Medicine Physician
  • Rancho Cucamonga, CA
  • NPI 1700523362
  Medicare reassignment NPD
• Prowellness Healthcare Inc.

  • Internal Medicine Physician
  • Rancho Cucamonga, CA
  • NPI 1053150698
  Medicare reassignment NPD
• Think Wound Care Medical Inc

  • Family Nurse Practitioner
  • Long Beach, CA
  • NPI 1457206427
  Medicare reassignment
• Seasons Hospice & Palliative Care of California- San Bernardino, LLC

  dba AccentCare Hospice & Palliative Care of California -San Bernardino

  • Community Based Hospice Care Agency
  • Ontario, CA
  • NPI 1336408848
  NPD (past)
• Seasons Hospice & Palliative Care of California, LLC

  dba AccentCare Hospice & Palliative Care of California -Los Angeles

  • Community Based Hospice Care Agency
  • Glendale, CA
  • NPI 1538332101
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1215474390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23910 SUNSET CROSSING RD",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651450",
            "telephone_number": "661-709-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 E GUASTI RD STE 315",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917611258",
            "telephone_number": "346-376-1702",
            "fax_number": "909-466-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECIO",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-26",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK JOSE",
            "last_name": "RECIO",
            "prefix": "MR.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leshlie Reano
• Jazmine Abigail Rebollo
• Alexandra Reca
• Leicy Recendez, MS
• Gina Marie Recio
• Aliyah Redding Lake
• Blessy M Reddy
• Allison Nicole Redondo Lugo
• Amber Reed
• Judi Reed

• Family Nurse Practitioner in Ontario, CA
• Providers in Ontario, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.