Mark Stephen Sutton, MD AMC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G72354 Issued in CA

Legal business name

MARK STEPHEN SUTTON, MD AMC

Practice address

30200 Rancho Viejo Rd
San Juan Capistrano, CA 92675-1560

Phone

(866) 880-6798

Fax

(417) 890-9127

NPI assigned

Apr 14, 2015

Last updated

Jul 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Stephen Sutton, M.D.

Title

President

Phone

(866) 880-6798

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1942696133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30200 RANCHO VIEJO RD",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751560",
            "telephone_number": "866-880-6798",
            "fax_number": "417-890-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30200 RANCHO VIEJO RD",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751560",
            "telephone_number": "866-880-6798",
            "fax_number": "417-890-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK STEPHEN SUTTON, MD AMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-880-6798",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G72354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.