NPIMap

Organization Active NPI

Jeffrey N. Mar, M.D., Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Rancho Cucamonga, CA
National Provider Identifier
1760508121
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
A87348 Issued in CA
Legal business name
JEFFREY N. MAR, M.D., INC.
Practice address
9479 Haven Ave
Rancho Cucamonga, CA 91730-5844
Phone
(909) 771-8023
Fax
(909) 989-0606
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Authorized official

Name
Dr. Jeffrey N Mar, M.D
Title
President and Ceo
Phone
(909) 771-8023

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X A87348 CA
Adolescent and Children Mental Health Clinic/Center 261QM0855X A87348 CA Primary

Addresses

Primary practice location

9479 Haven Ave
Rancho Cucamonga, CA 91730-5844

Mailing address

9479 Haven Ave
Rancho Cucamonga, CA 91730-5844
Phone (909) 771-8023

Other names 1

  • Valenta, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jeffrey N Mar MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1760508121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9479 HAVEN AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305844",
            "telephone_number": "909-771-8023",
            "fax_number": "909-989-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9479 HAVEN AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305844",
            "telephone_number": "909-771-8023",
            "fax_number": "909-989-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY N. MAR, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "MAR",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "909-771-8023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "A87348",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CA",
            "license": "A87348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valenta, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.