Organization Active NPI

Mark F Kaufman, MD Inc

  • Specialist
  • Rancho Mirage, CA
National Provider Identifier
1447465109
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00G136033 Issued in CA
Legal business name
MARK F KAUFMAN, MD INC
Practice address
39300 Bob Hope Dr
Bannan BLDG Ste 1113
Rancho Mirage, CA 92270-3203
Phone
(760) 346-3851
Fax
(760) 568-4592
NPI assigned
May 14, 2007
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
Mary Guaenlla
Title
Manager
Phone
(760) 346-3851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 00G136033 CA Primary

Addresses

Primary practice location

39300 Bob Hope Dr
Bannan BLDG Ste 1113
Rancho Mirage, CA 92270-3203

Mailing address

39300 Bob Hope Dr
Bannan BLDG Ste 1113
Rancho Mirage, CA 92270-3203

National Provider Directory

National Provider Directory

Locations

39300 Bob Hope Dr
Ste 1113
Rancho Mirage, CA 92270
Phone (760) 346-3851

39300 Bob Hope Dr
Ste 1202
Rancho Mirage, CA 92270
Phone (760) 346-3851

Practitioners & affiliated clinicians

Practitioners 1

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": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447465109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39300 BOB HOPE DR",
            "address_2": "BANNAN BLDG STE 1113",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703203",
            "fax_number": "760-568-4592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39300 BOB HOPE DR",
            "address_2": "BANNAN BLDG STE 1113",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703203",
            "telephone_number": "760-346-3851",
            "fax_number": "760-568-4592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK F KAUFMAN, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUAENLLA",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "760-346-3851"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "00G136033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, 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.