Active NPI
Mark Allen Neves, OTRL
- Occupational Therapist
- Fremont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT8813
- Practice address
- 3575 Beacon Ave
Fremont, CA 94538-1407 - Phone
- (510) 794-9672
- Fax
- (510) 792-8138
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT8813 | CA | Primary |
Addresses
Primary practice location
3575 Beacon Ave
Fremont, CA 94538-1407
Mailing address
39141 Civic Center Dr
Ste 120
Fremont, CA 94538-5831
Phone (510) 794-9672
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CT0088130 | Medicaid | CA | |
| OT0088130 | Other | CA | BLUE SHIELD OF CALIFORNIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
250 W Main St
Woodland, CA 95695-3652
Phone (916) 668-6100
7200 S Land Park Dr
Suite 300
Sacramento, CA 95831-3670
Phone (916) 391-5010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT8813 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burger Physical Therapy Services Inc | Current | Accepting new patients | |
| Burger Physical Therapy and Rehabilitation Agency Inc | Past | Accepting new patients |
Locations
11990 Heritage Oak Pl
Ste 8
Auburn, CA 95603
Phone (530) 823-6835
1301 E Bidwell St
Ste 201
Folsom, CA 95630
7200 S Land Park Dr
Ste 300
Sacramento, CA 95831
Phone (916) 391-5010
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Folsom, CA
- NPI 1356352082
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Folsom, CA
- NPI 1457333908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520380800000",
"number": "1295869923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39141 CIVIC CENTER DR",
"address_2": "STE 120",
"city": "FREMONT",
"state": "CA",
"postal_code": "945385831",
"telephone_number": "510-794-9672",
"fax_number": "510-792-8138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3575 BEACON AVE",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381407",
"telephone_number": "510-794-9672",
"fax_number": "510-792-8138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEVES",
"first_name": "MARK",
"middle_name": "ALLEN",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2018-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT8813",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CT0088130",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "OT0088130",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.