Mark Anthony Knight, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

A78828 Issued in CA

Practice address

15039 Goldenwest St Ste 101
Huntington Beach, CA 92647-2710

Phone

(714) 613-4420

Fax

(714) 613-4446

NPI assigned

Apr 5, 2007

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1376665737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15039 GOLDENWEST ST STE 101",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472710",
            "telephone_number": "714-613-4420",
            "fax_number": "714-613-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15039 GOLDENWEST ST STE 101",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472710",
            "telephone_number": "714-613-4420",
            "fax_number": "714-613-4446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "902 N Grand Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927014218",
            "country_code": "US",
            "telephone_number": "714-647-9500",
            "fax_number": "714-647-9515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-05",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A78828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jezebel Kline
• James Louis Kloss, DDS
• Richard David Klotz, M.D.
• Kealani Knickerbocker
• Katherine Ann Knight, BSW
• Shaffven Djohn Knight
• Rachael Knoblauch, PT
• Ashley Morgan Knutsen
• Koah Health Physical Therapy & Functional Medicine PC
• Wesley Masura Kobayashi, DPM

• Plastic and Reconstructive Surgery Physician in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.

Verify at the official NPI Registry.