Organization Active NPI

Michael Markopoulos MD Inc

  • Adult Medicine Physician
  • Del Mar, CA
National Provider Identifier
1427231018
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
G346870 Issued in CA
Legal business name
MICHAEL MARKOPOULOS MD INC
Practice address
2683 Via de la Valle
Suite G626
Del Mar, CA 92014-1911
Phone
(858) 481-0412
NPI assigned
Dec 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Authorized official

Name
Dr. Michael Markopoulos, MDNPI 1023178464
Title
President
Phone
(858) 481-0412

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X G346870 CA Primary

Addresses

Primary practice location

2683 Via de la Valle
Suite G626
Del Mar, CA 92014-1911

Mailing address

2683 Via de la Valle
Suite G626
Del Mar, CA 92014-1911
Phone (858) 481-0412

Other identifiers 1

IdentifierTypeStateIssuer
00G346870MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090108000171 CA Part B Supplier - Clinic/Group Practice 7214964253 Receives reassigned benefits from 1 practitioner
Practice locations: Del Mar, CA

National Provider Directory

National Provider Directory

Locations

2683 Via de la Valle
Ste G626
Del Mar, CA 92014
Phone (858) 481-0412

2683 Via de la Valle
#G626
Del Mar, CA 92014
Phone (858) 481-0412

183 Calle Magdalena
Encinitas, CA 92024

7891 Westwood Dr
Ste 207
Gilroy, CA 95020
Phone (408) 848-8445

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1427231018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2683 VIA DE LA VALLE",
            "address_2": "SUITE G626",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920141911",
            "telephone_number": "858-481-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2683 VIA DE LA VALLE",
            "address_2": "SUITE G626",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920141911",
            "telephone_number": "858-481-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MARKOPOULOS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "MARKOPOULOS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-481-0412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "G346870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G346870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Mar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.