Individual provider Active NPI

Mark Allen Warford, D.P.M.

  • Podiatrist
  • Fair Oaks, CA
National Provider Identifier
1699833020
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3548 Issued in CA
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

Updated by the provider on Sep 23, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue192
Removal or shaving of skin growth31

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
E3548CAMDSports 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

Verify at the official NPI Registry.