Individual provider Active NPI

Mark Morishige, MD

  • Orthopaedic Surgery Physician
  • Los Altos, CA
National Provider Identifier
1619197639
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
C171216 Issued in CA
Practice address
763 Altos Oaks Dr Ste 2
Los Altos, CA 94024-5400
Phone
(408) 356-0444
Fax
(408) 358-5125
NPI assigned
May 1, 2007
Last updated
Mar 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 64840 MN
Orthopaedic Surgery Physician 207X00000X 38793 IA
Orthopaedic Surgery Physician 207X00000X C171216 CA Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 38793 IA

Addresses

Primary practice location

763 Altos Oaks Dr Ste 2
Los Altos, CA 94024-5400

Mailing address

763 Altos Oaks Dr Ste 2
Los Altos, CA 94024-5400
Phone (408) 356-0444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MN, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20130821000840 FL Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 2769556059
I20190918000631 MN Practitioner - Orthopedic Surgery 2769556059 Reassigns benefits to 1 organization
I20210324001464 CA Practitioner - Orthopedic Surgery 2769556059 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Chicago, Pritzker School of Medicine, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Advanced Surgical AssociatesGroup PAC ID 2567438849, 6 clinicians

Practice addresses (Care Compare)

200 Jose Figueres Ave
Suite 225
San Jose, CA 95116-1588
Phone (408) 929-5610

763 Altos Oaks Dr
Suite 2
Los Altos, CA 94024-5400
Phone (408) 356-0444

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)14
Upper limb (arm) arthroscopy (minimally invasive joint repair)15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C171216CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Surgical Associates CurrentSince Jun 26, 2023 Accepting new patients
Fairview Health Services Current Accepting new patients
Mark Morishige MD Inc Orthopaedic Surgery CurrentSince May 1, 2022 Accepting new patients
County of Santa Clara CurrentSince Feb 14, 2025 Accepting new patients
Fairview Clinics CurrentSince Sep 1, 2019 Accepting new patients
County of Santa Clara Current Accepting new patients
Fairview Health Services CurrentSince Sep 1, 2019 Accepting new patients
County of Santa Clara CurrentSince Feb 14, 2025 Accepting new patients
Sarasota Doctors Hospital Inc Past Accepting new patients
County of Santa Clara Past Accepting new patients
El Camino Hospital Past Accepting new patients
Northwest Iowa Hospital Corporation Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Providence Health & Services Washington Past Accepting new patients
Northwest Iowa Hospital Corporation Past Accepting new patients
River Oaks Hospital LLC Past Accepting new patients
Mississippi Sports Medicine & Orthopaedic Center Orthopaedic Surgery Past Accepting new patients
Mountaineer Orthopedic Specialists, LLC Orthopaedic Surgery PastSince Feb 7, 2017 Accepting new patients
Key West Hma LLC Past Accepting new patients
Sanford Health of Northern Minnesota Past Accepting new patients

Locations

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

9400 No Name Uno
Gilroy, CA 95020
Phone (408) 848-2000

763 Altos Oaks Dr
Ste 2
Los Altos Hills, CA 94024
Phone (408) 356-0444

825 Pollard Rd
Ste 100
Los Gatos, CA 95032
Phone (408) 356-0444

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

200 Jose Figueres Ave
San Jose, CA 95116
Phone (408) 259-3232

200 Jose Figueres Ave
Ste 225
San Jose, CA 95116
Phone (408) 929-5610

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

750 S Bascom Ave
#1112
San Jose, CA 95128

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11955/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mmorishige227481@santaclaravalley.direct-ci.net

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1619197639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 ALTOS OAKS DR STE 2",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245400",
            "telephone_number": "408-356-0444",
            "fax_number": "408-358-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 ALTOS OAKS DR STE 2",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245400",
            "telephone_number": "408-356-0444",
            "fax_number": "408-358-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORISHIGE",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "64840",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "38793",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "C171216",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "IA",
            "license": "38793",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

Verify at the official NPI Registry.