MARK CROSS (NPI# 1205964939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205964939 |
| Entity Type | Individual |
| Full Name | MARK CROSS |
| Credential | PA-C |
| Practice Address |
2650 E Foothill Blvd Pasadena CA 91107-3439 |
| Mailing Address |
874 Main St Fortuna CA 95540-1926 |
| Practice Telephone | 6265772261 |
| Practice Fax Number | 7077252455 |
| Mailing Telephone | 7077253334 |
| Mailing Fax Number | 7077252455 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2019-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
19505 | CA | Allopathic & Osteopathic Physicians |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
19505 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
2322 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 83821368 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740317536 | Mark David Cross | Dentist | 1291 W Market St, Germantown, OH 45327-1715 | 2007-02-27 |
| 1700941820 | Mark Eldon Cross | Counselor | 513 N Front St, Ste M, Yakima, WA 98901-2356 | 2006-12-27 |
| Street Address |
2650 E FOOTHILL BLVD |
| City | PASADENA |
| State | CA |
| Zip Code | 91107-3439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437262219 | Ana Julia Popoca-logue | Nurse Practitioner | 2650 E Foothill Blvd, Pasadena, CA 91107-3439 | 2006-08-16 |
| 1801497110 | Rosio Jazmin Rodriguez | Rehabilitation Practitioner | 2650 E Foothill Blvd, Pasadena, CA 91107-3439 | 2020-11-03 |
| 1164020707 | Sarah Ostroff | Counselor | 2650 E Foothill Blvd, Pasadena, CA 91107-3439 | 2020-10-15 |
| 1891306510 | Jadee Quach | Student in an Organized Health Care Education/Training Program | 2650 E Foothill Blvd, Pasadena, CA 91107-3439 | 2020-08-14 |
| 1811508385 | Michelle Ha | Student in an Organized Health Care Education/Training Program | 2650 E Foothill Blvd, Pasadena, CA 91107-3439 | 2020-08-10 |
| 1801406426 | Shantell Byrd | Student in an Organized Health Care Education/Training Program | 2650 E Foothill Blvd, Pasadena, CA 91107-3439 | 2020-08-07 |
| 1922618271 | Johana Hernandez | Student in an Organized Health Care Education/Training Program | 2650 E Foothill Blvd, Pasadena, CA 91107-3439 | 2020-08-02 |
| 1811515315 | Itzel Gonzalez | Case Manager/Care Coordinator | 2650 E Foothill Blvd, Pasadena, CA 91107-3439 | 2020-07-10 |
| 1427678721 | Natalie Ann Yahnke | Case Manager/Care Coordinator | 2650 E Foothill Blvd, Pasadena, CA 91107-3439 | 2020-04-16 |
| 1457998080 | Mary Lowentrout | Counselor | 2650 E Foothill Blvd, Pasadena, CA 91107-3439 | 2019-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412002 | Kwasi Nkansa | Physical Medicine & Rehabilitation | 2585 East Washington Blvd, Pasadena, CA 91107 | 2020-06-23 |
| 1609402742 | H & S Hospice Care Inc | Hospice Care, Community Based | 2525 E Colordo Blvd Suite 109, Pasadena, CA 91107 | 2020-03-20 |
| 1013557115 | Cindy Phun | Pharmacist | 3383 E Foothill Blvd, Pasadena, CA 91107 | 2020-01-07 |
| 1184185548 | Preferred Home Health Services | Home Health | 40 N Atlandena Dr Suite 219, Pasadena, CA 91107 | 2019-03-28 |
| 1861973729 | Julia E Underwood | Doula | 2335-115 E. Colorado Blvd #339, Pasadena, CA 91107 | 2018-08-28 |
| 1982183166 | Melissa Castillo | Counselor | 26 S Kinneloa Ave, Pasadena, CA 91107 | 2018-08-09 |
| 1083109904 | Lourice Boutros | Optometrist | 3235 E Colorado Blvd Ste 101, Pasadena, CA 91107 | 2018-06-22 |
| 1902313026 | Cecily Brogdon | Marriage & Family Therapist | 2115 Lambert Drive, Pasadena, CA 91107 | 2018-01-10 |
| 1790204915 | Vanessa Nicole Contreras | Licensed Vocational Nurse | 36 S. Kinneiloa Ave., Pasadena, CA 91107 | 2017-09-19 |
| 1730614397 | Rita Mason | Behavioral Analyst | 890 S Rosemead Blvd, Ste 45, Pasadena, CA 91107 | 2017-04-20 |
| Find all providers in zip 91107 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194175281 | Holly Stabler | Physician Assistant | 150 W Dayton St Apt 4037, Pasadena, CA 91105-4555 | 2016-06-20 |
| 1235551995 | Theresa Sivers-teixeira | Physician Assistant | 625 South Fair Oaks, #400, Pasadena, CA 91105 | 2014-01-15 |
| 1679704548 | Diana A Perez | Physician Assistant | 5213 Center St, Pasadena, TX 77505-1866 | 2009-07-27 |
| 1366677254 | Yana Yarchuk | Physician Assistant | 65 N Madison Ave Ste 310, Pasadena, CA 91101-2050 | 2009-05-20 |
| 1861545352 | Mihaela Varga | Physician Assistant | 473 N Fair Oaks Ave, Pasadena, CA 91103-3621 | 2007-01-19 |
| 1255436366 | Bertha Campos | Physician Assistant | 3801 Vista Rd Ste 100, Pasadena, TX 77504-2160 | 2006-09-13 |
| 1619970191 | Andrew Vargas | Physician Assistant | 3315 Burke Rd, Ste 202, Pasadena, TX 77504-1823 | 2005-05-27 |
| 1265905236 | Nicole Fiss | Physician Assistant | 1045 N Lake Ave, Pasadena, CA 91104-4521 | 2019-01-02 |
| 1730670753 | Mary Katherine Byrd Armstrong | Physician Assistant | 4450 E Sam Houston Pkwy S Ste H2, Pasadena, TX 77505-3950 | 2018-05-24 |
| 1376086140 | Jasleen Kaur | Physician Assistant | 797 S Fair Oaks Ave, Pasadena, CA 91105-2617 | 2016-11-28 |
| Find all providers in PASADENA | ||||
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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.