Mark T Kan, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A82378 Issued in CA

Practice address

20072 SW Birch St
Suite 230
Newport Beach, CA 92660-0794

Phone

(949) 222-1290

Fax

(949) 222-1289

NPI assigned

Jul 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Mark T Kan, Inc

  dba Newport Fertility Center

  • Reproductive Endocrinology Physician
  • Newport Beach, CA
  • NPI 1538455860
  NPD (past) Authorized official
• Newport Health Laboratories, Inc

  • Clinical Medical Laboratory
  • Newport Beach, CA
  • NPI 1861579740
  Authorized official Same address or phone

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336171446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20072 SW BIRCH ST",
            "address_2": "SUITE 230",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600794",
            "telephone_number": "949-222-1290",
            "fax_number": "949-222-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20072 SW BIRCH ST",
            "address_2": "SUITE 230",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600794",
            "telephone_number": "949-222-1290",
            "fax_number": "949-222-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAN",
        "first_name": "MARK",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A82378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Suzanne Kalb, AGNP-BC, PMHNP-BC
• Gavin Kam, DPT
• Kamaldeep Singh Chiropractic Inc
• Steve Kamph, DC
• Jack Min Kan, M.D.
• Ellie Kang
• Ravi Jeram Kankotia, M.D.
• Vinod Tony Kannarkat, M.D.
• Ethan Kao
• Richard Kao, M.D.

• Specialist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.