Organization Active NPI

Mark V. Garbutt, MD Professional Corporation

  • Ophthalmology Physician
  • Coronado, CA
National Provider Identifier
1386737179
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MARK V. GARBUTT, MD PROFESSIONAL CORPORATION
Practice address
230 Prospect PL Ste 310
Coronado, CA 92118-1988
Phone
(620) 629-7713
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark Garbutt
Title
President
Phone
(620) 629-7713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

230 Prospect PL Ste 310
Coronado, CA 92118-1988

Mailing address

230 Prospect PL Ste 310
Coronado, CA 92118-1988
Phone (620) 629-7713

National Provider Directory

National Provider Directory

Locations

230 Prospect Pl
Ste 310
Coronado, CA 92118
Phone (619) 437-1388

230 Prospect Pl
#310
Coronado, CA 92118
Phone (619) 435-4662

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386737179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 PROSPECT PL STE 310",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181988",
            "telephone_number": "620-629-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 PROSPECT PL STE 310",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181988",
            "telephone_number": "620-629-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK V. GARBUTT, MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARBUTT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-629-7713"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coronado, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.