Organization Active NPI

Mark a Welch DO, Inc

  • Psychiatry Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1770031312
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2OA8950 Issued in CA
Legal business name
MARK A WELCH DO, INC
Practice address
10737 Laurel St
Suite 230
Rancho Cucamonga, CA 91730-3837
Phone
(909) 989-5556
Fax
(909) 989-5558
NPI assigned
Sep 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Authorized official

Name
Dr. Mark Arnold Welch, DONPI 1225063555
Title
Doctor
Phone
(951) 966-5802

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 2OA8950 CA Primary

Addresses

Primary practice location

10737 Laurel St
Suite 230
Rancho Cucamonga, CA 91730-3837

Mailing address

10737 Laurel St
Suite 230
Rancho Cucamonga, CA 91730-3837
Phone (909) 989-5556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170801000400 CA Part B Supplier - Clinic/Group Practice 4587935119 Receives reassigned benefits from 1 practitioner
Practice locations: Rancho Cucamonga, CA

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": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473638400000",
    "number": "1770031312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10737 LAUREL ST",
            "address_2": "SUITE 230",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303837",
            "telephone_number": "909-989-5556",
            "fax_number": "909-989-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10737 LAUREL ST",
            "address_2": "SUITE 230",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303837",
            "telephone_number": "909-989-5556",
            "fax_number": "909-989-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A WELCH DO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-12",
        "last_updated": "2016-09-12",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "951-966-5802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "2OA8950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.