Mark Asef, M.D.
Individual provider Active NPI Nephrology Physician · Highland, CA
NPI 1225561673 · NPPES record last updated Aug 9, 2022
Key facts
- NPI
- 1225561673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- A165100 (CA)
- Practice address
- 7223 Church St Ste A20
Highland, CA 92346-5812 - Phone
- (909) 882-0702
- Fax
- (909) 886-6704
- NPI assigned
- Apr 4, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nephrology Associates Medical Group Inc
Practice addresses (Care Compare)
401 E Highland Ave
Suite 551
San Bernardino, CA 92404-3840
Phone (909) 882-9150
Hospital & facility affiliations
- DaVita Valley View Dialysis
- DaVita Vista Heights Dialysis Center
- FMC-North Fontana
- DaVita Menifee Home Dialysis
- FMC-Moreno Valley
- Riverside University Health System-Medical Center
- Loma Linda University Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200227000720 | CA | Practitioner - Nephrology |
5193057529 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A165100 | CA | MD | Nephrology Physician |
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates Medical Group Inc | Nephrology | Current |
Accepting new patients |
| Dignity Health | Past | Accepting new patients | |
| Community Hospital of San Bernardino | Past | Accepting new patients | |
| San Gorgonio Memorial Hospital | Past | Accepting new patients |
Locations
264 N Highland Springs Ave
Ste 3B
Banning, CA 92220
Phone (951) 769-9776
7223 Church St
Ste A20
Highland, CA 92346
Phone (909) 381-3900
22555 Alessandro Blvd
Ste B
Moreno Valley, CA 92553
Phone (951) 656-1660
3660 Park Sierra Dr
Ste 203
Riverside, CA 92505
Phone (951) 687-3400
3660 Park Sierra Dr
Ste 208
Riverside, CA 92505
Phone (951) 687-2800
401 E Highland Ave
Ste 551
Sn Bernrdno, CA 92404
Phone (909) 882-1759
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- mark.asef.1@19859.direct.athenahealth.com
- masef182752@direct.llu.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Nephrology Physician | 207RN0300X | A165100 | CA | Yes |
Addresses
Primary practice location
7223 Church St Ste A20
Highland, CA 92346-5812
Mailing address
3660 Park Sierra Dr Ste 203
Riverside, CA 92505-3071
Phone (951) 687-3400
Other practice location 1
17234 Valley Blvd
Fontana, CA 92335
Phone (909) 427-5000
Other practice location 2
22555 Alessandro Blvd Ste B
Moreno Valley, CA 92553-8533
Phone (951) 656-7081
Other practice location 3
264 N Highland Springs Ave Ste 3B
Banning, CA 92220-3085
Phone (951) 769-9776
Other practice location 4
401 E Highland Ave Ste 551
San Bernardino, CA 92404-3840
Phone (909) 882-9150
Other providers in Highland, CA
- Angel Care Enterprises
- Sarai Arana
- Jennie Arias
- Misty Michelle Arne
- Asbio Inc
- Assured Hospice
- Sheena Ataian
- Thaung Myat Aung
- Naveh Mary Ayon
- Redentor Bacani
All providers in Highland, CA · Nephrology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.