Active NPI
Mark V. Garbutt, MD Professional Corporation
- Ophthalmology Physician
- Coronado, CA
National Provider Identifier
1386737179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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 DirectoryLocations
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.