Organization Active NPI

Guey C Mark M D Inc

  • General Practice Physician
  • Stockton, CA
National Provider Identifier
1295982734
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
C191890 Issued in CA
Legal business name
GUEY C MARK M D INC
Practice address
1072 W. Monterey Avenue
Stockton, CA 95204-3031
Phone
(209) 463-2180
NPI assigned
Aug 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Authorized official

Name
Dr. Guey C Mark
Title
President of Guey C Mark M D Inc
Phone
(209) 463-2180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X C191890 CA Primary

Addresses

Primary practice location

1072 W. Monterey Avenue
Stockton, CA 95204-3031

Mailing address

1072 W. Monterey Avenue
Stockton, CA 95204-3031
Phone (209) 463-2180

Other identifiers 1

IdentifierTypeStateIssuer
00C191890MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1295982734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 W. MONTEREY AVENUE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952043031",
            "telephone_number": "209-463-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 W. MONTEREY AVENUE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952043031",
            "telephone_number": "209-463-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUEY C MARK M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "GUEY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT OF GUEY C MARK M D INC",
        "authorized_official_telephone_number": "209-463-2180",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "C191890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C191890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.