Mark A. Alderdice, M.D.
Individual provider Active NPI Emergency Medicine Physician · Daly City, CA
NPI 1689612871 · NPPES record last updated Jul 21, 2008
Key facts
- NPI
- 1689612871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- G62209 (CA)
- Practice address
- 1900 Sullivan Ave
Daly City, CA 94015-2200 - Phone
- (415) 992-4000
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G62209 | CA | MD | Emergency Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G62209 | CA | Yes |
Addresses
Primary practice location
1900 Sullivan Ave
Daly City, CA 94015-2200
Mailing address
2100 Powell St
Suite 900
Emeryville, CA 94608-1826
Phone (510) 350-2600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G622090 | Medicaid | CA |
Other providers in Daly City, CA
- Ahmc Seton Medical Center LLC
- Ahmc Seton Medical Center LLC
- Marjorie Mee Ahn
- Andrew Alarid
- Fanny Albano
- Aldrich Sy, DDS, MD Inc
- Alfredo a Dela Rosa DDS Inc
- Zakariya Abdi Ali
- Edgardo Alicaway
- Alice Yan, MD, Incorporated
All providers in Daly City, CA · Emergency Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.