Mark S Stern M D a Professional Corporation

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

G47596 Issued in CA

Legal business name

MARK S STERN M D A PROFESSIONAL CORPORATION

Doing business as

Southern California Institute of Neurological surgery

Practice address

705 E Ohio Ave
Escondido, CA 92025-3418

Phone

(760) 489-9490

Fax

(760) 489-7638

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Rhonda Vaughan

Title

Office Manager

Phone

(760) 489-9490

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Southern California Institute of Neurological surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Blake Wade Berman, D.O.

  • Neurological Surgery Physician
  • La Mirada, CA
  • NPI 1023164365
  Medicare reassignment NPD
• Sunil P Jeswani, M.D.

  • Neurological Surgery Physician
  • San Diego, CA
  • NPI 1023359494
  Medicare reassignment NPD
• Mark Steven Stern, MD

  • Neurological Surgery Physician
  • Escondido, CA
  • NPI 1649282765
  Medicare reassignment NPD
• Blanca Estela Nunez, PA

  • Surgical Physician Assistant
  • Los Angeles, CA
  • NPI 1811375629
  Medicare reassignment

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1346366929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E OHIO AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253418",
            "telephone_number": "760-489-9490",
            "fax_number": "760-489-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E OHIO AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253418",
            "telephone_number": "760-489-9490",
            "fax_number": "760-489-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK S STERN M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "760-489-9490"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G47596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1649282765",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern California Institute of Neurological surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Marie Marin
• Sarah Kemper Marin, FNP-C
• Blesilda Mario-Singh, M.D.
• Elena Mariscal
• Camilo Marizcal Cota
• Mark Ventocilla, O.D., Inc
• Journey Michelle Markert, IMF
• Marko Georgiev Markov, M.D.
• Gina Marks
• Natalie Sue Markwell, RADT 1

• Neurological Surgery Physician in Escondido, CA
• Providers in Escondido, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.