Organization Active NPI

Mark E. Krugman, M.D. Inc.

  • Plastic Surgery Physician
  • Irvine, CA
National Provider Identifier
1730555764
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
G11635 Issued in CA
Legal business name
MARK E. KRUGMAN, M.D. INC.
Practice address
16300 Sand Canyon Avenue
Suite 1011
Irvine, CA 92618-3710
Phone
(949) 727-3999
Fax
(949) 727-9053
NPI assigned
Aug 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Authorized official

Name
Mark E Krugman, M.D.NPI 1134125586
Title
Owner
Phone
(714) 972-1811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X G11635 CA Primary

Addresses

Primary practice location

16300 Sand Canyon Avenue
Suite 1011
Irvine, CA 92618-3710

Mailing address

16300 Sand Canyon Avenue
Suite 1011
Irvine, CA 92618-3710
Phone (949) 727-3999

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1730555764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16300 SAND CANYON AVENUE",
            "address_2": "SUITE 1011",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183710",
            "telephone_number": "949-727-3999",
            "fax_number": "949-727-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16300 SAND CANYON AVENUE",
            "address_2": "SUITE 1011",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183710",
            "telephone_number": "949-727-3999",
            "fax_number": "949-727-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK E. KRUGMAN, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "KRUGMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-972-1811",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G11635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.