Active NPI
Denise Rose Mark, M.D.
- Internal Medicine Physician
- Carmel, CA
National Provider Identifier
1558437004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C041558
- Practice address
- 26335 Carmel Rancho Blvd
Suite 8
Carmel, CA 93923-8876 - Phone
- (831) 625-9999
- Fax
- (831) 625-9903
- NPI assigned
- Nov 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C041558 | CA | Primary |
Addresses
Primary practice location
26335 Carmel Rancho Blvd
Suite 8
Carmel, CA 93923-8876
Mailing address
26335 Carmel Rancho Blvd
Suite 8
Carmel, CA 93923-8876
Phone (831) 625-9999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 3, 2017 through Mar 3, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C041558 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558437004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26335 CARMEL RANCHO BLVD",
"address_2": "SUITE 8",
"city": "CARMEL",
"state": "CA",
"postal_code": "939238876",
"telephone_number": "831-625-9999",
"fax_number": "831-625-9903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26335 CARMEL RANCHO BLVD",
"address_2": "SUITE 8",
"city": "CARMEL",
"state": "CA",
"postal_code": "939238876",
"telephone_number": "831-625-9999",
"fax_number": "831-625-9903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARK",
"first_name": "DENISE",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "C041558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.