Individual provider Active NPI

Mark Ian Brenis, DPM

  • Podiatrist
  • Watsonville, CA
National Provider Identifier
1801858048
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3289 Issued in CA
Practice address
47 Penny LN
Suite 1
Watsonville, CA 95076-6055
Phone
(831) 728-8844
Fax
(831) 763-1001
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E3289 CA Primary
Primary Podiatric Medicine Podiatrist 213EP1101X E3289 CA
Sports Medicine Podiatrist 213ES0000X E3289 CA
Foot Surgery Podiatrist 213ES0131X E3289 CA

Addresses

Primary practice location

47 Penny LN
Suite 1
Watsonville, CA 95076-6055

Mailing address

47 Penny LN
Suite 1
Watsonville, CA 95076-6055
Phone (831) 728-8844

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
I20081215000030 CA Practitioner - Podiatry 5698837391 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Foot Care IncGroup PAC ID 0345329686, 127 clinicians

Practice addresses (Care Compare)

47 Penny LN
Suite 1
Watsonville, CA 95076-6055
Phone (831) 728-8844

Merit-based Incentive Payment System (MIPS)

Final score
88.65 of 100Reported as group
Quality
68.04
Promoting interoperability
99
Improvement activities
40
Cost
75.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue819
Removal or shaving of skin growth49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3289CAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Doctors of Santa Cruz County Inc a Podiatry Group CurrentSince Jul 11, 2012 Accepting new patients
Bay Area Foot Care Inc Podiatrist CurrentSince Jul 1, 2022 Accepting new patients
Bay Area Foot Care, Inc Podiatrist CurrentSince Jul 1, 2022 Accepting new patients
Dignity Health Past Accepting new patients
Salinas Valley Memorial Healthcare System Past Accepting new patients
Camarda Foot Clinic, Inc. Podiatrist Past Accepting new patients

Locations

1850 41st Ave
Ste 103
Capitola, CA 95010
Phone (408) 475-7900

1600 Creekside Dr
Ste 3100
Folsom, CA 95630
Phone (916) 269-8865

2844 Summit St
Ste 107
Oakland, CA 94609
Phone (510) 463-3888

1100 Laurel St
Ste E
San Carlos, CA 94070
Phone (650) 595-4148

1580 Valencia St
Ste 109
San Francisco, CA 94110
Phone (415) 285-7711

2114 McKee Rd
San Jose, CA 95116
Phone (408) 272-2211

750 Las Gallinas Ave
Ste 115
San Rafael, CA 94903
Phone (415) 472-5575

9029 Soquel Ave
Ste D
Santa Cruz, CA 95062
Phone (831) 475-7900

1055 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 728-8844

47 Penny Ln
Ste 1
Watsonville, CA 95076
Phone (831) 728-8844

Interoperability endpoints

  • Direct secure messaging: mbrenis@tfdoscci-ca.direct.office.nextgen.com
  • Direct secure messaging: mark.brenis.2@20181.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1801858048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 PENNY LN",
            "address_2": "SUITE 1",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950766055",
            "telephone_number": "831-728-8844",
            "fax_number": "831-763-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 PENNY LN",
            "address_2": "SUITE 1",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950766055",
            "telephone_number": "831-728-8844",
            "fax_number": "831-763-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENIS",
        "first_name": "MARK",
        "middle_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3289",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CA",
            "license": "E3289",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "CA",
            "license": "E3289",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E3289",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsonville, CA

Sources for this page

Verify at the official NPI Registry.