Mark E. Anderson, M.D., a Professional Corporation

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

G33410 Issued in CA

Legal business name

MARK E. ANDERSON, M.D., A PROFESSIONAL CORPORATION

Practice address

16300 Sand Canyon Ave Ste 1005
Irvine, CA 92618-3710

Phone

(949) 753-0303

Fax

(949) 753-8982

NPI assigned

Oct 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mark Anderson

Title

President

Phone

(949) 753-0303

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1366752941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16300 SAND CANYON AVE STE 1005",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183710",
            "telephone_number": "949-753-0303",
            "fax_number": "949-753-8982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16300 SAND CANYON AVE STE 1005",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183710",
            "telephone_number": "949-753-0303",
            "fax_number": "949-753-8982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK E. ANDERSON, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-753-0303",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G33410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shabnam Marini
• Jennifer Elizabeth Marino
• Michael George Marino, FNP-C, CRNA
• Romina Marinucci-Leccese
• Chanel Mariscal
• Mark E. Krugman, M.D. Inc.
• Mark Haddad
• Mark R Kobayashi MD Inc
• Anna Marker, PHARM.D.
• Dakota Markham

• Neurological Surgery Physician in Irvine, CA
• Providers in Irvine, 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 Oct 15, 2010; 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.