Mark R Myers, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

G50231 Issued in CA

Practice address

55 E California Blvd
3Rd FL
Pasadena, CA 91105-3944

Phone

(626) 793-1227

Fax

(626) 793-3794

NPI assigned

May 1, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1669439857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E CALIFORNIA BLVD",
            "address_2": "3RD FL",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053944",
            "telephone_number": "626-793-1227",
            "fax_number": "626-793-3794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E CALIFORNIA BLVD",
            "address_2": "3RD FL",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053944",
            "telephone_number": "626-793-1227",
            "fax_number": "626-793-3794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "MARK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G50231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00097733",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "G50231",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonia Elisa Mutlak
• My Education Ally, Inc.
• Derrick Marlin Myers, M.D.
• Jared Myers, D.O
• Marilyn Myers
• Molly Kelly Myers
• Stephen Myers
• Valerie Phillips Myers, MD
• Mylene V Matti, M.D., Inc.
• Reshawna Myricks

• Cardiovascular Disease Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.