Active NPI
Mark Koester, RMSK
- Diagnostic Ultrasound Physician
- San Diego, CA
National Provider Identifier
1720593098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- License
- 146834
- Practice address
- 6699 Alvarado Rd Ste 2302
San Diego, CA 92120-5241 - Phone
- (949) 313-7736
- Fax
- (949) 313-7737
- NPI assigned
- Dec 8, 2017
- Last updated
- May 7, 2018
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Specialist/Technologist Cardiovascular | 246XS1301X | |||
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | |||
| Sonography Radiologic Technologist | 2471S1302X | |||
| Vascular Sonography Radiologic Technologist | 2471V0105X | |||
| Diagnostic Ultrasound Physician | 2085U0001X | 146834 | CA | Primary |
Addresses
Primary practice location
6699 Alvarado Rd Ste 2302
San Diego, CA 92120-5241
Mailing address
PO Box 80218
Rancho Santa Margarita, CA 92688-0218
Phone (949) 313-7736
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146834 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Ultrasound Imaging, Inc. | Multi-Specialty | Current | Accepting new patients |
Locations
6699 Alvarado Rd
Ste 2302
San Diego, CA 92120
Phone (619) 578-2518
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Sonography Radiologic Technologist
- San Diego, CA
- NPI 1811310766
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525651200000",
"number": "1720593098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80218",
"city": "RANCHO SANTA MARGARITA",
"state": "CA",
"postal_code": "926880218",
"telephone_number": "949-313-7736",
"fax_number": "949-313-7737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6699 ALVARADO RD STE 2302",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921205241",
"telephone_number": "949-313-7736",
"fax_number": "949-313-7737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOESTER",
"first_name": "MARK",
"credential": "RMSK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-08",
"last_updated": "2018-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "246XS1301X",
"taxonomy_group": "",
"desc": "Specialist/Technologist Cardiovascular, Sonography",
"state": null,
"license": null,
"primary": false
},
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": false
},
{
"code": "2471S1302X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Sonography",
"state": null,
"license": null,
"primary": false
},
{
"code": "2471V0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Vascular Sonography",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "CA",
"license": "146834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.