Active NPI
Mark Jeffrey Spiro, M.D.
- Emergency Medicine Physician
- Escondido, CA
National Provider Identifier
1306821012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- C41336
- Practice address
- 555 E Valley Pkwy
Escondido, CA 92025-3048 - Phone
- (760) 739-3300
- Fax
- (760) 739-3686
- NPI assigned
- Dec 14, 2005
- Last updated
- May 15, 2008
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | C41336 | CA | Primary |
Addresses
Primary practice location
555 E Valley Pkwy
Escondido, CA 92025-3048
Mailing address
2100 Powell St
Suite
Emeryville, CA 94608-1826
Phone (510) 350-2658
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C413360 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C41336 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galen Inpatient Physicians PC | Past | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Past | Accepting new patients |
| Cep America LLC | Emergency Medicine | Past | Accepting new patients |
| Cep America -Illinois PC | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210809600000",
"number": "1306821012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 POWELL ST",
"address_2": "SUITE",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081826",
"telephone_number": "510-350-2658",
"fax_number": "510-879-9086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 E VALLEY PKWY",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920253048",
"telephone_number": "760-739-3300",
"fax_number": "760-739-3686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIRO",
"first_name": "MARK",
"middle_name": "JEFFREY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2008-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "C41336",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C413360",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.