Active NPI
Mark D. Lipa, MD
- Anesthesiology Physician
- Dana Point, CA
National Provider Identifier
1972573764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD429184
- Practice address
- 33235 Ocean Bright
Dana Point, CA 92629-1043 - Phone
- (719) 214-6733
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 30317 | CO | |
| Anesthesiology Physician | 207L00000X | MD429184 | PA | Primary |
Addresses
Primary practice location
33235 Ocean Bright
Dana Point, CA 92629-1043
Mailing address
33235 Ocean Bright
Dana Point, CA 92629-1043
Phone (719) 214-6733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95301577 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30317 | CO | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Healthcare of Colorado PC | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Certified Registered Nurse Anesthetist
- Pueblo, CO
- NPI 1437132990
Anesthesiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1972573764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33235 OCEAN BRIGHT",
"city": "DANA POINT",
"state": "CA",
"postal_code": "926291043",
"telephone_number": "719-214-6733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33235 OCEAN BRIGHT",
"city": "DANA POINT",
"state": "CA",
"postal_code": "926291043",
"telephone_number": "719-214-6733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPA",
"first_name": "MARK",
"middle_name": "D.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "30317",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD429184",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "95301577",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dana Point, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.