NPIMap

Individual provider Active NPI

Mark Henry Eaton, MD

  • Cardiovascular Disease Physician
  • Sacramento, CA
National Provider Identifier
1952353575
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G73724 Issued in CA
Practice address
500 University Ave.
Sacramento, CA 95825-6524
Phone
(916) 830-2000
Fax
(916) 830-2001
NPI assigned
May 16, 2006
Last updated
Nov 14, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology Physician 207UN0901X G73724 CA
Cardiovascular Disease Physician 207RC0000X G73724 CA Primary

Addresses

Primary practice location

500 University Ave.
Sacramento, CA 95825-6524

Mailing address

500 University Ave.
Sacramento, CA 95825-6524
Phone (916) 830-2000

Other identifiers 1

IdentifierTypeStateIssuer
00G737240MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050705000791 CA Practitioner - Cardiovascular Disease (Cardiology) 6103862750 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
New York University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

500 University Ave
Sacramento, CA 95825-6504
Phone (916) 830-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.96 of 100Reported as group
Quality
79.71
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73724CAMDPharmacist
G73724CAMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sacramento Heart & Vascular Medical Cardiovascular Disease CurrentSince Jun 1, 1993 Accepting new patients
Sacramento Heart Ambulatory Surgery Center, Inc CurrentSince Nov 4, 2016 Accepting new patients
Sacramento Heart & Vascular CurrentSince Jun 1, 1993 Accepting new patients
Dignity Community Care Past Accepting new patients
Dignity Health Past Accepting new patients
Sutter Regional Medical Foundation Cardiovascular Disease Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

635 Anderson Rd
Ste 15
Davis, CA 95616
Phone (530) 757-7062

500 University Ave
Sacramento, CA 95825
Phone (916) 423-6806

Interoperability endpoints

  • Direct secure messaging: mark.eaton.1@33049.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1952353575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY AVE.",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256524",
            "telephone_number": "916-830-2000",
            "fax_number": "916-830-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY AVE.",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256524",
            "telephone_number": "916-830-2000",
            "fax_number": "916-830-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON",
        "first_name": "MARK",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "CA",
            "license": "G73724",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G73724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G737240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.