Mark D Schafer, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G69584 Issued in CA

Practice address

2742 Dow Ave
Tustin, CA 92780-7242

Phone

(714) 665-1661

Fax

(714) 665-1669

NPI assigned

Nov 3, 2005

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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Memorialcare Medical Foundation

  • Clinic/Center
  • Fountain Valley, CA
  • NPI 1205167350

  Internal Medicine

  Medicare reassignment NPD
• Bristol Park Medical Group, Inc

  • Family Medicine Physician
  • Costa Mesa, CA
  • NPI 1043266760

  Internal Medicine

  NPD (past) Authorized official
• Bristol Park Medical Group, Inc

  • Family Medicine Physician
  • Mission Viejo, CA
  • NPI 1063469229
  Authorized official Same address or phone
• Bristol Park Medical Group, Inc

  • Family Medicine Physician
  • Irvine, CA
  • NPI 1386691004
  Authorized official Same address or phone
• Bristol Park Medical Group, Inc

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1427005180
  Authorized official Same address or phone
• Bristol Park Medical Group, Inc

  • Family Medicine Physician
  • Aliso Viejo, CA
  • NPI 1437105509
  Authorized official Same address or phone
• Bristol Park Medical Group, Inc

  • Exclusive Provider Organization
  • Tustin, CA
  • NPI 1548348113
  Authorized official Same address or phone
• Bristol Park Medical Group, Inc

  • Family Medicine Physician
  • Fountain Valley, CA
  • NPI 1689621260
  Authorized official Same address or phone
• Bristol Park Medical Group, Inc.

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1275580995
  Authorized official Same address or phone
• Bristol Park Medical Group, Inc.

  • Family Medicine Physician
  • Mission Viejo, CA
  • NPI 1528015278
  Authorized official Same address or phone
• Bristol Park Medical Group, Inc.

  • Family Medicine Physician
  • San Juan Capistrano, CA
  • NPI 1609823251
  Authorized official Same address or phone
• Bristol Park Medical Group, Inc.

  • Internal Medicine Physician
  • Irvine, CA
  • NPI 1740237460
  Authorized official Same address or phone

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1417948894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2742 DOW AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807242",
            "telephone_number": "714-665-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2742 DOW AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807242",
            "telephone_number": "714-665-1661",
            "fax_number": "714-665-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFER",
        "first_name": "MARK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G69584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G695840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hailey Sattler
• Alejandra Saucedo, ASW
• Sheryl A. Saupe-Pinto, D.C.
• Shane Thomas Sawyer
• Sonja Christine Schaefer
• Amanda Schaffert
• Christina Schipul
• Victoria Wallace Schlicht, MA, LMFT
• Emily Ruth Schoen, CPNP
• Vivian Schrenk, PA

• Internal Medicine Physician in Tustin, CA
• Providers in Tustin, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.