NPIMap

Individual provider Active NPI

Mark Alan Ward, MD

  • Family Medicine Physician
  • Morro Bay, CA
National Provider Identifier
1639110257
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A83686 Issued in CA
Practice address
355 Las Vegas St
Morro Bay, CA 93442-1548
Phone
(805) 772-7100
Fax
(805) 772-7776
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A83686 CA Primary

Addresses

Primary practice location

355 Las Vegas St
Morro Bay, CA 93442-1548

Mailing address

355 Las Vegas St
Morro Bay, CA 93442-1548
Phone (805) 772-7100

Other identifiers 2

IdentifierTypeStateIssuer
00A836860OtherCABLUE SHIELD
00A836860MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031117000801 CA Practitioner - Family Practice 5799699484 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Duke University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family and Industrial Medical Center IncGroup PAC ID 1759318256, 9 clinicians

Practice addresses (Care Compare)

355 Las Vegas St
Morro Bay, CA 93442-1548
Phone (805) 772-7100

47 Santa Rosa St
San Luis Obispo, CA 93405-1811
Phone (805) 542-9596

Hospital & facility affiliations

  • Central Coast Home Health Inc Home health agency, San Luis Obispo, CA, CCN 059010
  • Dignity Health Home Health Home health agency, Santa Maria, CA, CCN 557038
  • French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232
  • Adventist Health Sierra Vista Hospital, San Luis Obispo, CA, CCN 050506

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mark a Ward MD Inc Family Medicine CurrentSince Apr 17, 2007 Accepting new patients
Family & Industrial Medical Center, Inc. Family Medicine CurrentSince Jun 1, 2019 Accepting new patients
CMG Medical Group, Inc. Family Medicine Past Accepting new patients
Cuesta Medical Group Inc Family Medicine Past Accepting new patients

Locations

47 Santa Rosa St
Sn Luis Obisp, CA 93405
Phone (805) 542-9596

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13850/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mark.ward.1@13850.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1639110257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 LAS VEGAS ST",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934421548",
            "telephone_number": "805-772-7100",
            "fax_number": "805-772-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 LAS VEGAS ST",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934421548",
            "telephone_number": "805-772-7100",
            "fax_number": "805-772-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A83686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A836860",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A836860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morro Bay, CA

Sources for this page

Verify at the official NPI Registry.