Mark Daniel Gaon, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

A87237 Issued in CA

Practice address

2121 E Coast Hwy Ste 270
Corona del Mar, CA 92625-1940

Phone

(949) 642-3424

Fax

(949) 642-3420

NPI assigned

Jan 10, 2009

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

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1231545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1275770471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE STE 301",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608729",
            "telephone_number": "949-640-4115",
            "fax_number": "949-640-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E COAST HWY STE 270",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926251940",
            "telephone_number": "949-642-3424",
            "fax_number": "949-642-3420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 S Main St",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683851",
            "country_code": "US",
            "telephone_number": "714-978-2445",
            "fax_number": "714-978-2998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Avocado Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926608729",
            "country_code": "US",
            "telephone_number": "949-640-4115",
            "fax_number": "949-640-4115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAON",
        "first_name": "MARK",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-10",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A87237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William S. Flanagan III, L.AC.
• Laleh Taheri Ford, PHARM.D.
• Brianna Doreen Foreman, PT, DPT
• Emily Forney, FNP-C
• Jeffrey Fracalosy, DPT
• Garfield Beach CVS LLC (CVS Pharmacy #11420)
• Mojtaba Ghalambor, DDS
• Evelyn Giles
• Caitlin Glenn
• Robert Goldstone, MD

• Plastic and Reconstructive Surgery Physician in Corona del Mar, CA
• Providers in Corona del Mar, CA by specialty
• Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.