Mark Wilbur Davenport, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G-31689 Issued in CA

Practice address

920 Delbon Ave
Turlock, CA 95382-2019

Phone

(209) 634-7283

Fax

(209) 634-9167

NPI assigned

Jul 3, 2006

Last updated

Jul 20, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Ronald a. Arakelian, M. D., Inc

  • Internal Medicine Physician
  • Turlock, CA
  • NPI 1396924668
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1831129493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 DELBON AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822019",
            "telephone_number": "209-634-7283",
            "fax_number": "209-634-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 DELBON AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822019",
            "telephone_number": "209-634-7283",
            "fax_number": "209-634-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "MARK",
        "middle_name": "WILBUR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G-31689",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "G-31689",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G316892",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE NUMBER",
            "identifier": "G-31689",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dan W Prine Psychology Corporation
• Kulmeet Singh Dang, DO
• Lapa R Dang, PAC
• Daniel & Max, LLC (dba Stanton Optical)
• Huy Ngoc Dao, DO
• David L. Velasco, Jr, MD, Inc.
• David Yang, MD a Professional Corporation
• Dan K. Davidson, MD
• Melanee Davidson, OTR/L
• Jason Davila

• Internal Medicine Physician in Turlock, CA
• Providers in Turlock, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.