Organization Active NPI

Mark Galbraith, M.D., Inc.

  • Family Medicine Physician
  • Mission Viejo, CA
National Provider Identifier
1952451049
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MARK GALBRAITH, M.D., INC.
Practice address
26691 Plaza
110
Mission Viejo, CA 92691-6329
Phone
(949) 360-6009
Fax
(949) 360-6162
NPI assigned
Jan 11, 2007
Last updated
Feb 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Dr. Jon Mark Galbraith, MD
Title
Owner
Phone
(949) 360-6009

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Sports Medicine (Family Medicine) Physician 207QS0010X NU

Addresses

Primary practice location

26691 Plaza
110
Mission Viejo, CA 92691-6329

Mailing address

26732 Crown Valley Pkwy Ste 511
Mission Viejo, CA 92691-8525
Phone (949) 360-6009

Other identifiers 1

IdentifierTypeStateIssuer
1780619916OtherCAINDIVIDUAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080202000063 CA Part B Supplier - Clinic/Group Practice 2668554312 Receives reassigned benefits from 1 practitioner
Practice locations: Mission Viejo, CA

National Provider Directory

National Provider Directory

Locations

25500 Rancho Niguel Rd
Laguna Niguel, CA 92677
Phone (949) 305-2203

26691 Plaza
Mission Viejo, CA 92691
Phone (949) 364-9054

26691 Plaza
Ste 110
Mission Viejo, CA 92691
Phone (949) 360-6009

26732 Crown Valley Pkwy
Ste 511
Mission Viejo, CA 92691
Phone (949) 360-6009

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1952451049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26732 CROWN VALLEY PKWY STE 511",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918525",
            "telephone_number": "949-360-6009",
            "fax_number": "949-360-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26691 PLAZA",
            "address_2": "110",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916329",
            "telephone_number": "949-360-6009",
            "fax_number": "949-360-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK GALBRAITH, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "GALBRAITH",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-360-6009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "1780619916",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.