Individual provider Active NPI

Mark D Hauptman, M.D.

  • Internal Medicine Physician
  • Mission Viejo, CA
National Provider Identifier
1801873427
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G55356 Issued in CA
Practice address
26991 Crown Valley Pkwy Ste 100
Mission Viejo, CA 92691-6511
Phone
(949) 582-5430
NPI assigned
Dec 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G55356 CA Primary

Addresses

Primary practice location

26991 Crown Valley Pkwy Ste 100
Mission Viejo, CA 92691-6511

Mailing address

PO Box 35380
Suite 120
Las Vegas, NV 89133-5380

Other practice location 1

26800 Crown Valley Pkwy
Suite 305
Mission Viejo, CA 92691-6384
Phone (949) 364-6000

Other identifiers 1

IdentifierTypeStateIssuer
00G553560MedicaidCA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091102000631 CA Practitioner - Internal Medicine 8022098300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, Irvine, California College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Family Medicine GPGroup PAC ID 9931143799, 87 clinicians

Practice addresses (Care Compare)

26991 Crown Valley Pkwy
Mission Viejo, CA 92691-6511
Phone (949) 582-5430

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G55356CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Family Medicine GP Internal Medicine CurrentSince Dec 31, 2018 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Sep 1, 2025 Accepting new patients
Mission Internal Medical Group, Inc. Current Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

11 Technology Dr
Irvine, CA 92618
Phone (855) 206-6764

3460 Katella Ave
Los Alamitos, CA 90720
Phone (310) 594-6599

26991 Crown Valley Pkwy
Ste 100
Mission Viejo, CA 92691
Phone (949) 582-5430

26800 Crown Valley Pkwy
Ste 305
Mission Viejo, CA 92691
Phone (949) 364-6001

26522 La Alameda
Ste 120
Mission Viejo, CA 92691
Phone (949) 282-1671

26991 Crown Valley Pkwy
Mission Viejo, CA 92691
Phone (949) 393-5426

665 Camino de los Mares
Ste 210
San Clemente, CA 92673
Phone (949) 240-6772

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

Interoperability endpoints

  • Direct secure messaging: mhauptman195175@westdirect.optum.com
  • Direct secure messaging: mark.hauptman.p33@direct.monarchhealthcare.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1801873427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "address_2": "SUITE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26991 CROWN VALLEY PKWY STE 100",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916511",
            "telephone_number": "949-582-5430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26800 Crown Valley Pkwy",
            "address_2": "SUITE 305",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926916384",
            "country_code": "US",
            "telephone_number": "949-364-6000",
            "fax_number": "949-364-3213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAUPTMAN",
        "first_name": "MARK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G55356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G553560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.