Mark V Sofonio MD Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MARK V SOFONIO MD INC

Practice address

71885 Highway 111
Rancho Mirage, CA 92270-4446

Phone

(760) 341-5555

Fax

(760) 341-8054

NPI assigned

Jan 25, 2023

Organization subpart

No

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

Authorized official

Name

Mark Vincent Sofonio, MDNPI 1700868718

Title

Owner

Phone

(760) 341-5555

Specialties & licenses 2

Addresses

Other names 1

• Plastic & Reconstructive Surgery & Laser Medical Center of the Desert Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Ambulatory surgical center certification: CCN 55C0001163

Legal name

Plastic & Reconstructive Surgery & Laser Medical Center of the Desert

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

May 2, 2024

Last certification

May 2, 2024

Ownership / control type

Proprietary

Facility address

71885 Highway 111
Rancho Mirage, CA 92270

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Mark Vincent Sofonio, MD

  • Plastic Surgery Physician
  • Rancho Mirage, CA
  • NPI 1700868718
  NPD Authorized official

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1386350072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71885 HIGHWAY 111",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704446",
            "telephone_number": "760-341-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71885 HIGHWAY 111",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704446",
            "telephone_number": "760-341-5555",
            "fax_number": "760-341-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK V SOFONIO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "SOFONIO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-341-5555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plastic & Reconstructive Surgery & Laser Medical Center of the Desert",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Martesia A Marshall, DDS

• Ambulatory Surgical Clinic/Center in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.