Mark Kumamoto MD a Professional Corp

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A37007 Issued in CA

Legal business name

MARK KUMAMOTO MD A PROFESSIONAL CORP

Practice address

361 Hospital Rd
Suite 124
Newport Beach, CA 92663-3522

Phone

(949) 631-0988

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark Kumamoto, M.D.

Title

President

Phone

(800) 883-7243

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1235218074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "714-347-1012",
            "fax_number": "714-647-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 HOSPITAL RD",
            "address_2": "SUITE 124",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633522",
            "telephone_number": "949-631-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK KUMAMOTO MD A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "KUMAMOTO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-883-7243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A37007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A370070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Ann Marino, D.O.
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• Mark T Kan, Inc
• Evgenia Markou
• Melvin I Marks, M.D.
• Amanda Marmolejo, M.D.
• Sylvia Mende Maron

• Anesthesiology Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.