John Mardones, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A41581 Issued in CA

Practice address

47111 Monroe St
PO Drawer LLLL
Indio, CA 92201-6739

Phone

(760) 347-6191

NPI assigned

Jun 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Adventist Health Medical Center Tehachapi

  • Critical Access Hospital
  • Tehachapi, CA
  • NPI 1275538530
  Medicare reassignment NPD
• Adventist Health Medical Center Tehachapi

  • Rural Health Clinic/Center
  • Mojave, CA
  • NPI 1508175431
  NPD
• Adventist Health Medical Center Tehachapi

  • Rural Health Clinic/Center
  • California City, CA
  • NPI 1699084525
  NPD
• Buena Vista Emergency Medical Services

  • Emergency Medicine Physician
  • Bakersfield, CA
  • NPI 1750516951
  NPD (past)
• Desert Vip Urgent Care

  • Urgent Care Clinic/Center
  • Palm Desert, CA
  • NPI 1467584425
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251244800000",
    "number": "1669408522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2993",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922022993",
            "telephone_number": "800-819-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47111 MONROE ST",
            "address_2": "PO DRAWER LLLL",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922016739",
            "telephone_number": "760-347-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDONES",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2009-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A41581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RIVERSIDE CO EMS",
            "identifier": "A41581",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A415810",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "A41581",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A415810",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mari Carlo Manzana
• Stephanie Marak
• Nydia Ellena Maravilla, RADT
• Marie Marcinko, RN
• Ronald Marcus
• Maria a Vazquez DDS Inc
• Maria Remedios R. Gopez, MD., Inc.
• Guadalupe Macias Mariscal, PEER SUPPORT SPECIAL
• Mark a Gillispie O D Inc
• Amin Abed Nagiub Markos, ARDMS

• Emergency Medicine Physician in Indio, CA
• Providers in Indio, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.