Mark J Larsen, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G51274 Issued in CA

Practice address

65 Loma Vista Dr
Orinda, CA 94563-2236

Phone

(925) 258-4300

Fax

(408) 228-0823

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cal Mobile X-Ray & Ekg Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • San Jose, CA
  • NPI 1306588223
  NPD
• Golden State Diagnostic Inc

  • Radiology Clinic/Center
  • Sunnyvale, CA
  • NPI 1386714335
  NPD
• South Valley Imaging LLC

  • Diagnostic Radiology Physician
  • Gilroy, CA
  • NPI 1730143447
  NPD
• John Muir Magnetic Imaging Center

  • Diagnostic Radiology Physician
  • Walnut Creek, CA
  • NPI 1235184110
  NPD (past)
• Neuroscan

  • Diagnostic Radiology Physician
  • Walnut Creek, CA
  • NPI 1104871060
  NPD (past)
• Radiology Group LLC

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1003866583
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1992894141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 LOMA VISTA DR",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945632236",
            "telephone_number": "925-258-4300",
            "fax_number": "408-228-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 LOMA VISTA DR",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945632236",
            "telephone_number": "925-258-4300",
            "fax_number": "408-228-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "MARK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G51274",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "38096",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Douglas Laird, LMFT
• Lamorinda Acupuncture Professional Corporation
• Gary Bennett Landman, MD
• Laurie A Langford, DVM
• Lara Saft, M.a., MFT
• Ingrid Linnea Larsson, M.D.
• Janet Laudy
• Carrolyn Patterson Leary
• John Franklin Lennox, DO
• Karen J Leo, M.D.

• Diagnostic Radiology Physician in Orinda, CA
• Providers in Orinda, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.