MARK D SUSKI (NPI# 1093886731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093886731 |
| Entity Type | Individual |
| Full Name | MARK D SUSKI |
| Credential | M.D. |
| Practice Address |
2166 N Moorpark Road Suite 102 Thousand Oaks CA 91360-5009 |
| Mailing Address |
227 W Janss Rd Ste 205 Thousand Oaks CA 91360-1827 |
| Practice Telephone | 8054943330 |
| Practice Fax Number | 8054941255 |
| Mailing Telephone | 8054943330 |
| Mailing Fax Number | 8054941255 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2016-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
G76464 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G764640 | 05 | |
| CA | TAXONOMY | 2086S0122X | 01 |
| Street Address |
2166 N MOORPARK ROAD SUITE 102 |
| City | THOUSAND OAKS |
| State | CA |
| Zip Code | 91360-5009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124633953 | Rhandi Walters | Marriage & Family Therapist | 208 E Thousand Oaks Blvd, Suite D, Thousand Oaks, CA 91360 | 2020-09-09 |
| 1942709837 | Stephanie Renee Neri | Behavior Technician | 325 E Hillcrest Dr Suite 140, Thousand Oaks, CA 91360 | 2018-02-06 |
| 1104340652 | Fernando Antonio Castaneda | Student in an Organized Health Care Education/Training Program | 325 E Hillcrest Dr Ste 140, Thousand Oaks, CA 91360 | 2017-07-26 |
| 1023548989 | Anna Garduno | Specialist/Technologist | 3680 Campus Drive, Thousand Oaks, CA 91360 | 2017-06-14 |
| 1467996306 | Ava Shokoufi | Marriage & Family Therapist | 280 E Thousand Oaks Blvd Suite D, Thousand Oaks, CA 91360 | 2016-12-12 |
| 1649621517 | Sandy Lynn Mcglynn | Social Worker | 460 East Gainsborough Road, Thousand Oaks, CA 91360 | 2016-06-22 |
| 1316363476 | Lorraine Jordan | Family Medicine | 1331 Witherspoon Dr, Thousand Oaks, CA 91360 | 2014-03-13 |
| 1841612033 | Katherine Snyder | Counselor | 280 East Thousand Oaks Blvd. Suite D, Thousand Oaks, CA 91360 | 2014-01-08 |
| 1235567397 | Christine Maria Katzenmaier | Speech-Language Pathologist | 223 E. Thousand Oaks Blvd, Thousand Oaks, CA 91360 | 2013-10-28 |
| 1912335233 | Lena Ameripour | Behavioral Analyst | 315 E. Hillcrest Dr., Thousand Oaks, CA 91360 | 2013-10-23 |
| Find all providers in zip 91360 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639730344 | Robin Evans, Md A Professional Corporation | Surgery | 351 Rolling Oaks Dr Ste 101, Thousand Oaks, CA 91361-1278 | 2019-06-24 |
| 1649740424 | Robin Evans | Surgery | 351 Rolling Oaks Dr Ste 101, Thousand Oaks, CA 91361-1278 | 2018-12-05 |
| 1760825962 | R Rubinstein Md Inc | Surgery | 400 S Reino Rd Ste 200, Thousand Oaks, CA 91320-4285 | 2013-04-08 |
| 1689912164 | Plastic, Hand, and Microsurgeons, Inc | Surgery | 227 W Janss Rd, Suite 205, Thousand Oaks, CA 91360-1848 | 2013-01-17 |
| 1679609622 | Leilie Javan, M.d., A Medical Corporation | Surgery | 425 Haaland Dr, Suite 203, Thousand Oaks, CA 91361-5229 | 2007-02-26 |
| 1790855120 | Edward Y Henjyoji | Surgery | 351 Rolling Oaks Dr, #101, Thousand Oaks, CA 91361-1278 | 2006-11-09 |
| 1609946037 | Edward Y. Henjyoji, M.d., A Professional Corporation | Surgery | 351 Rolling Oaks Dr, Suite 101, Thousand Oaks, CA 91361-1275 | 2006-11-09 |
| 1669542080 | Mark D Suski Md A Professional Corporation | Surgery | 2220 Lynn Rd, Suite 102, Thousand Oaks, CA 91360-1904 | 2006-11-09 |
| 1821018045 | Leilie June Javan | Surgery | 425 Haaland Dr, Suite 203, Thousand Oaks, CA 91361-5229 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382523 | Beverly Hills Outpatient Surgery Center Inc | Surgery | 50 N La Cienega Blvd Ste 203, Beverly Hills, CA 90211-2246 | 2020-09-24 |
| 1558907857 | California Surgical and Anesthesia Services, Inc | Surgery | 3500 S Bristol St Ste 203, Santa Ana, CA 92704-7306 | 2019-11-21 |
| 1710533864 | Elite Transformations, A Professional Medical Corporation | Surgery | 1795 El Camino Real Ste 200, Palo Alto, CA 94306-1165 | 2019-08-14 |
| 1326503632 | Andre P. Marshall, Md Inc | Surgery | 32456 Crown Valley Pkwy Apt 105, Dana Point, CA 92629-3312 | 2019-01-31 |
| 1598245474 | Jenny Marie Hullinger | Surgery | 711 4th Ave Ste 200, San Diego, CA 92101-6863 | 2018-08-20 |
| 1497249817 | Alexander Villicana Md LLC | Surgery | 624 W Duarte Rd Ste 201, Arcadia, CA 91007-9261 | 2018-06-19 |
| 1316431273 | Justin E. West, Md Inc. | Surgery | 230 S Main St Ste 210, Orange, CA 92868-3851 | 2018-06-14 |
| 1811430234 | Marc Hamilton Hedrick | Surgery | 3020 Callan Rd, San Diego, CA 92121-1109 | 2016-12-02 |
| 1285082859 | Daniel Suissa | Surgery | 9201 W Sunset Blvd Ste 708, West Hollywood, CA 90069-3708 | 2016-05-24 |
| 1780030478 | Eric Yu Kit Li | Surgery | 10430 S De Anza Blvd Ste 170, Cupertino, CA 95014-3000 | 2016-05-11 |
| Find all providers with the same taxonomy | ||||
| City | THOUSAND OAKS |
| Zip Code | 91360 |
Please comment or provide details below to improve the information on MARK D SUSKI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.