David Bruce Mark, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G35305 Issued in CA

Practice address

1010 W Fremont Ave
Ste 200
Sunnyvale, CA 94087-3019

Phone

(408) 739-6200

Fax

(408) 739-2439

NPI assigned

May 31, 2005

Last updated

Jan 31, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Ophthalmology

Education

Stanford University School of Medicine, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mendelson and Mark Optometric CorporationGroup PAC ID 0244607562, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Amplify Physicians of California PC

  • Ophthalmology Physician
  • Sunnyvale, CA
  • NPI 1659113439
  Medicare reassignment NPD Authorized official
• Mendelson & Mark Optometric Corporation

  • Optometrist
  • Sunnyvale, CA
  • NPI 1942960661
  Medicare reassignment Care Compare group NPD
• Silicon Valley Eye Physicians

  • Ophthalmology Physician
  • Sunnyvale, CA
  • NPI 1154324572
  Medicare reassignment NPD
• Amplify Physicians of California PC

  • Optometrist
  • Los Angeles, CA
  • NPI 1124866959

  Ophthalmology

  NPD Authorized official
• Studio Optics Optometric Group, Inc.

  • Ophthalmology Physician
  • Santa Clara, CA
  • NPI 1083617302
  NPD
• County of Santa Clara

  dba Inpatient Acute/Outpatient Facility Services

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1063406551
  NPD (past)
• El Camino Hospital

  dba El Camino Health

  • General Acute Care Hospital
  • Mountain View, CA
  • NPI 1093712374
  NPD (past)
• Jwang Medical Group, Inc.

  • Ophthalmology Physician
  • Mountain View, CA
  • NPI 1255431078
  NPD (past)
• Stanford Hospital and Clinics

  dba SHC Reference Laboratory

  • Clinical Medical Laboratory
  • Palo Alto, CA
  • NPI 1174698468
  NPD (past)

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1912900218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W FREMONT AVE",
            "address_2": "STE 200",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873019",
            "telephone_number": "408-739-6200",
            "fax_number": "408-739-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W FREMONT AVE",
            "address_2": "STE 200",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873019",
            "telephone_number": "408-739-6200",
            "fax_number": "408-739-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARK",
        "first_name": "DAVID",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G35305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9533828",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark David Levinem MD Sunnyvale PC (Community Psychaitry Associates)
• Mark E Gray DC Chiropractic Corp (Chiro Fitness)
• Mark E Gray DC Chiropractic Corp (Bell Plaza Chiropractic)
• Mark S Ichikawa, OD (Sunnyvale Optometry)
• Mark William Dal Porto DDS Inc
• /Carol Louise Marks, M.S.
• Thomas Kent Markuson, D.D.S.
• Steven C Marshall, D.D.S.
• Jessica Lynn Marshman, MFTI
• Therese Martin-Frey, LMFT

• Ophthalmology Physician in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.