MARK WHYTE MD A PROFESSIONAL MEDICAL CORPORATION (NPI# 1114137270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114137270 |
| Entity Type | Organization |
| Organization Name | MARK WHYTE MD A PROFESSIONAL MEDICAL CORPORATION |
| Practice Address |
608 G St Suite 2-b Brawley CA 92227-2568 |
| Practice Telephone | 7603443446 |
| Mailing Telephone | 7603443446 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2008-03-31 |
| Authorized Official Name | DR. MARK R WHYTE (PRESIDENT) |
| Authorized Official Telephone | 7603443446 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A85889 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A858890 | 05 |
| Street Address |
608 G ST SUITE 2-B |
| City | BRAWLEY |
| State | CA |
| Zip Code | 92227-2568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144255258 | Mark Whyte | Surgery | 608 G St, Suite 2-b, Brawley, CA 92227-2568 | 2006-07-11 |
| 1508295502 | Imperial Valley Family Care Medical Group, Apc | Clinic/Center | 608 G St, Suite 1a, Brawley, CA 92227-2568 | 2013-11-11 |
| 1932549573 | Valerie Marie Buenaflor | Nurse Practitioner | 608 G St, Suite 2 A, Brawley, CA 92227-2568 | 2013-06-27 |
| 1043489024 | Naoko Nagaya Upton | Dietitian, Registered | 608 G St, Ste 2b, Brawley, CA 92227-2568 | 2008-02-25 |
| 1205039815 | Jay Kenneth P Buenaflor Md A Medical Corporation | Pediatrics | 608 G St, Suite 1a, Brawley, CA 92227-2568 | 2007-06-09 |
| 1720166770 | Jay Kenneth Paloma Buenaflor | Pediatrics | 608 G St, I-a, Brawley, CA 92227-2568 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548755283 | Imperial Valleyrespite, Inc. | Behavioral Analyst | 630 S. Imperial Ave., Ste. 2, Brawley, CA 92227 | 2018-06-26 |
| 1013424704 | Denise Vizcarra | Behavior Technician | 630 S Brawley Ave Ste 2, Brawley, CA 92227 | 2018-01-04 |
| 1831465178 | Marylou Cayetano Thelmo | Obstetrics & Gynecology | 1166 K Street, Brawley, CA 92227 | 2012-03-30 |
| 1396046983 | Dominga Marquez De Vera | Pharmacist | 475 West Main Street, Vons Pharmacy, Brawley, CA 92227 | 2010-11-12 |
| 1033441795 | Marshall Ray Debruler | Physician Assistant | 207 W. Legion Rd, Brawley, CA 92227 | 2010-02-05 |
| 1073758280 | Brawley Physical Therapy | Clinic/Center | 529 E Street, Brawley, CA 92227 | 2008-12-03 |
| 1609058924 | Leticia Bustamante | Nurse Practitioner | 751 West Legion Road, Suite 102, Brawley, CA 92227 | 2007-11-28 |
| 1073701504 | Imperial County Behavioral Health Services | Clinic/Center | 385 D St Rm 30, Brawley, CA 92227 | 2007-10-10 |
| 1013118801 | Joseph Kurt Bivens | Plastic Surgery | 751 W Legion Rd Ste 300, Brawley, CA 92227 | 2007-05-30 |
| 1083771489 | Yong Tan | Family Medicine | 751 West Legion Road, Suite 102, Brawley, CA 92227 | 2007-01-03 |
| Find all providers in zip 92227 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659707586 | Helen Pensanti | General Practice | 608 G Street, Suite 1a, Brawley, CA 92227 | 2013-09-24 |
| 1902150675 | Virgilio C. Almaden, M.d., A.m.c. | General Practice | 751 W Legion Rd, Suite 205, Brawley, CA 92227-7732 | 2012-11-02 |
| 1992068191 | Rasoul Montazeri | General Practice | 125 South 5th Street, Brawley, CA 92227 | 2012-06-21 |
| 1558627174 | Ashu Garg | General Practice | 900 Main St, Brawley, CA 92227-2630 | 2012-04-09 |
| 1790891968 | Theodore Louis Schlater IIi | General Practice | 126 Main St, Brawley, CA 92227-2349 | 2006-08-21 |
| 1831156116 | Virgilio C Almaden | General Practice | 751 W Legion Rd, Suite 205, Brawley, CA 92227-7732 | 2006-04-28 |
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| 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.