Individual provider Active NPI

Mark Louis Tindall, MD

  • Orthopaedic Surgery Physician
  • Porterville, CA
National Provider Identifier
1992753305
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G33092 Issued in CA
Practice address
108 N D St
Porterville, CA 93257-3621
Phone
(559) 781-7381
Fax
(559) 781-4720
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G33092 CA Primary

Addresses

Primary practice location

108 N D St
Porterville, CA 93257-3621

Mailing address

108 N D St
Porterville, CA 93257-3621
Phone (559) 781-7381

Other identifiers 1

IdentifierTypeStateIssuer
00G330920MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081216000731 CA Practitioner - Orthopedic Surgery 8921160581 Reassigns benefits to 1 organization
Practice locations: Porterville, CA

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of California, Geffen School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

108 N D St
Porterville, CA 93257-3621
Phone (559) 781-7381

Hospital & facility affiliations

  • Sierra View Medical Center Hospital, Porterville, CA, CCN 050261

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G33092CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of California - Department of Developmental Services CurrentSince Dec 14, 2015 Accepting new patients
State of California - Department of Developmental Services Current Accepting new patients
Agnews Community Clinic CurrentSince Dec 14, 2015 Accepting new patients
Sierra View Local Health Care District Past Accepting new patients

Locations

26501 Avenue 140
Porterville, CA 93257
Phone (559) 782-2222

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1992753305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N D ST",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573621",
            "telephone_number": "559-781-7381",
            "fax_number": "559-781-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N D ST",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573621",
            "telephone_number": "559-781-7381",
            "fax_number": "559-781-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINDALL",
        "first_name": "MARK",
        "middle_name": "LOUIS",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G33092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G330920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

Verify at the official NPI Registry.