Active NPI
Mark Peselli
- Counselor
- Oceanside, CA
National Provider Identifier
1346954203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 3260 Production Ave
Oceanside, CA 92058-1308 - Phone
- (442) 303-7023
- NPI assigned
- Jan 5, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
3260 Production Ave
Oceanside, CA 92058-1308
Mailing address
3260 Production Ave
Oceanside, CA 92058-1308
Phone (442) 303-7023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143649378 | Other | MEDI-CAL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Forcedissue.org | Direct | |
| CONNECT URL | markpkokomo@yahoo.com |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672876800000",
"number": "1346954203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3260 PRODUCTION AVE",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920581308",
"telephone_number": "442-303-7023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3260 PRODUCTION AVE",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920581308",
"telephone_number": "442-303-7023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PESELLI",
"first_name": "MARK",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-05",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "143649378",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Forcedissue.org",
"affiliation": "N",
"endpointDescription": "Org",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3260 Production Ave",
"city": "Oceanside",
"state": "CA",
"country_code": "US",
"postal_code": "920581308",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "markpkokomo@yahoo.com",
"affiliation": "N",
"address_1": "3260 Production Ave",
"city": "Oceanside",
"state": "CA",
"country_code": "US",
"postal_code": "920581308",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Oceanside, CA
- Rachel E. Perkins, M.D.
- Tamara Lee Perlman, CNM, MSN, RN
- Perrin Curran, MD
- Nathan Adam Perrizo, D.O.
- Vernon R Pertelle, RRT
- Pet Imaging of North County, LLC (Regents Imaging)
- Christopher Russell Peterson, IDEPENDENT DUTY CORP
- Crystal Louise Peterson
- Eric Leo Margolis Peterson, MT
- Joel Nicholas Peterson, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.