Mark Carino Taberna, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

100122 Issued in CA

Practice address

1775 E Lincoln Ave Ste 104
Anaheim, CA 92805-4300

Phone

(619) 403-9094

NPI assigned

Nov 10, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Eagan Medical Group, Inc.

  • Psychiatry Physician
  • Huntington Beach, CA
  • NPI 1265946289
  NPD (past)

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1962703702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 E LINCOLN AVE STE 104",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928054300",
            "telephone_number": "408-843-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 E LINCOLN AVE STE 104",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928054300",
            "telephone_number": "619-403-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABERNA",
        "first_name": "MARK",
        "middle_name": "CARINO",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-10",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "100122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arfan Taba, D.D.S.
• Marlin Tababan
• Marie Babia Tabamo
• Ma Isabel Tabares Torres
• Karissa Tabarez
• Joseph A. Tabet, MD
• Tac Telepsychiatry
• Enmer Isau Tadeo, DDS
• Lakshminarayana Tadimeti, M.D.
• Hanny M Tadros, PHARMACIST

• Marriage & Family Therapist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.