Active NPI
Mark Allen Warford, D.P.M.
- Podiatrist
- Fair Oaks, CA
National Provider Identifier
1699833020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E3548
- Practice address
- 4136 Pennsylvania Ave
Fair Oaks, CA 95628-7413 - Phone
- (916) 548-0218
- Fax
- (916) 965-4129
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E3548 | CA | Primary |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | E3548 | CA | |
| Sports Medicine Podiatrist | 213ES0000X | E3548 | CA |
Addresses
Primary practice location
4136 Pennsylvania Ave
Fair Oaks, CA 95628-7413
Mailing address
4136 Pennsylvania Ave
Fair Oaks, CA 95628-7413
Phone (916) 548-0218
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090713000051 | CA | Practitioner - Podiatry | 2365594942 | Practice locations: Fair Oaks, CA; Sacramento, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4136 Pennsylvania Ave
Fair Oaks, CA 95628-7413
Phone (916) 548-0218
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 192 |
| Removal or shaving of skin growth | 31 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3548 | CA | MD | Sports Medicine Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285200000000",
"number": "1699833020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4136 PENNSYLVANIA AVE",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956287413",
"telephone_number": "916-548-0218",
"fax_number": "916-965-4129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4136 PENNSYLVANIA AVE",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956287413",
"telephone_number": "916-548-0218",
"fax_number": "916-965-4129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARFORD",
"first_name": "MARK",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2010-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E3548",
"primary": true
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "CA",
"license": "E3548",
"primary": false
},
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "CA",
"license": "E3548",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fair Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.