Mark Bernhard, D.O. Inc.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

20A4471 Issued in CA

Legal business name

MARK BERNHARD, D.O. INC.

Practice address

1060 E Green St
Suite 107
Pasadena, CA 91106-2413

Phone

(626) 584-1112

Fax

(626) 584-0453

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Douglas Bernhard, D.O.

Title

Owner

Phone

(626) 584-1112

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487869558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 E GREEN ST",
            "address_2": "SUITE 107",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062413",
            "telephone_number": "626-584-1112",
            "fax_number": "626-584-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 E GREEN ST",
            "address_2": "SUITE 107",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062413",
            "telephone_number": "626-584-1112",
            "fax_number": "626-584-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK BERNHARD, D.O. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERNHARD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-584-1112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "20A4471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "20A4471",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Multi-Specialty Clinic/Center in California

• 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.