Individual provider Active NPI

Mark Steven Spitzer

  • Otolaryngology Physician
  • Merced, CA
National Provider Identifier
1407848435
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
20A5347 Issued in CA
Practice address
410 E Yosemite Ave Ste B
Merced, CA 95340-8220
Phone
(209) 934-8077
Fax
(209) 233-9400
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 20A5347 CA Primary

Addresses

Primary practice location

410 E Yosemite Ave Ste B
Merced, CA 95340-8220

Mailing address

410 E Yosemite Ave Ste B
Merced, CA 95340-8220
Phone (209) 934-8077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040326000960 CA Practitioner - Otolaryngology 8527950260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Timothy S Johnston MD PCGroup PAC ID 1456638238, 9 clinicians

Practice addresses (Care Compare)

410 E Yosemite Ave
Suite B
Merced, CA 95340-8220
Phone (209) 934-8077

Hospital & facility affiliations

  • Mercy Medical Center Hospital, Merced, CA, CCN 050444

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A5347CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy S. Johnston, M.D. PC Otolaryngology CurrentSince Nov 26, 2025 Accepting new patients
Timothy S. Johnston, M.D. PC CurrentSince Nov 26, 2025 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Timothy S. Johnston, M.D. PC Past Accepting new patients

Locations

410 E Yosemite Ave
Ste B
Merced, CA 95340
Phone (209) 722-9272

3349 G St
Ste F
Merced, CA 95340
Phone (209) 349-8459

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

Interoperability endpoints

  • Direct secure messaging: mark.spitzer.p1@direct.castle.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1407848435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E YOSEMITE AVE STE B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408220",
            "telephone_number": "209-934-8077",
            "fax_number": "209-233-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E YOSEMITE AVE STE B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408220",
            "telephone_number": "209-934-8077",
            "fax_number": "209-233-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITZER",
        "first_name": "MARK",
        "middle_name": "STEVEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "20A5347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.