DR. MARK KAL (NPI# 1316937931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316937931 |
| Entity Type | Individual |
| Full Name | DR. MARK KAL |
| Credential | M.D. |
| Practice Address |
46900 Ocean Dr Gualala CA 95445-8353 |
| Mailing Address |
Po Box 1100 Gualala CA 95445-1100 |
| Practice Telephone | 7078844005 |
| Practice Fax Number | 7078849728 |
| Mailing Telephone | 7078844005 |
| Mailing Fax Number | 7078849728 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2014-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G56821 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE | P01070319 | 01 |
| Street Address |
46900 OCEAN DR |
| City | GUALALA |
| State | CA |
| Zip Code | 95445-8353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649279233 | Northern California Medical Assoc Inc | Internal Medicine | 46900 Ocean Dr, Gualala, CA 95445-8353 | 2005-07-18 |
| 1558707968 | Adele Zita | Registered Nurse | 46900 Ocean Dr, Gualala, CA 95445-8353 | 2013-05-13 |
| 1407030968 | Jefferson Nerney | Psychologist | 46900 Ocean Dr, Gualala, CA 95445-8353 | 2007-12-19 |
| 1093833659 | Jere Alm | Physician Assistant | 46900 Ocean Dr, Gualala, CA 95445-8353 | 2007-03-26 |
| 1164555769 | Leon Koenck | Physician Assistant | 46900 Ocean Dr, Ste 1100, Gualala, CA 95445-8353 | 2007-03-13 |
| 1962530725 | Redwood Coast Medical Services, Inc. | Clinic/Center | 46900 Ocean Dr, Gualala, CA 95445-8353 | 2007-03-01 |
| 1952494817 | Joanne C. Brooks | Family Medicine | 46900 Ocean Dr, Gualala, CA 95445-8353 | 2006-10-02 |
| 1346332335 | Lois Falk | Nurse Practitioner | 46900 Ocean Dr, Gualala, CA 95445-8353 | 2006-09-28 |
| 1780776682 | Roberta U. Rams | Dentist | 46900 Ocean Dr, Gualala, CA 95445-8353 | 2006-09-28 |
| 1851379705 | Elizabeth J Nagle | Nurse Practitioner | 46900 Ocean Dr, Gualala, CA 95445-8353 | 2006-01-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205453586 | Mendocino Pharmacy Holdings Inc. | Pharmacy | 39251 South Highway 1, Gualala, CA 95445 | 2020-07-02 |
| 1922659499 | Lucinda Weaver Physical Therapy | Clinic/Center | 39120 Ocean Dr, Gualala, CA 95445 | 2019-09-25 |
| 1275858573 | James Edwin Platt | Chiropractor | 38820 Hwy. 1, Suite 108, Gualala, CA 95445 | 2010-03-30 |
| 1184862013 | Lucinda Weaver I | Physical Therapist | 39120 Ocean Dr., Gualala, CA 95445 | 2009-01-30 |
| 1902050669 | Gena Lynn Davis | Optometrist | 39150 Ocean Drive, Suite 2a, Gualala, CA 95445 | 2008-11-07 |
| 1477731032 | Carolee Brady | Marriage & Family Therapist | 38550 S Hwy 1, Gualala, CA 95445 | 2008-02-06 |
| 1053432971 | Barbara Brittell | Physician Assistant | 46900 Ocean Drive, Redwood Coast Medical Services, Gualala, CA 95445 | 2007-04-02 |
| 1174658298 | Richard T Miner | Chiropractor | 38690 Pacific Dr., Suite 3, Gualala, CA 95445 | 2007-02-22 |
| 1104962638 | Robert Arnold Nelson | Ophthalmology | 30150 So Hwy One, Gualala, CA 95445 | 2007-01-30 |
| 1982808119 | Allen B. Cox Jr. | Dentist | 38460 S. Highway One, Gualala, CA 95445-1199 | 2007-06-12 |
| Find all providers in zip 95445 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952494817 | Joanne C. Brooks | Family Medicine | 46900 Ocean Dr, Gualala, CA 95445-8353 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407711 | Prohealth Partners A Medical Group | Family Medicine | 3700 Katella Ave Ste D, Los Alamitos, CA 90720-6410 | 2020-11-06 |
| 1831790112 | Universal Healthcare Services, Inc. | Family Medicine | 6025 Niles St, Bakersfield, CA 93306-4696 | 2020-11-04 |
| 1568063923 | Claude Kathy Marquis | Family Medicine | 400 S June St, Los Angeles, CA 90020-4812 | 2020-11-03 |
| 1417558842 | San Judas Tadeo Medical Group, Inc. | Family Medicine | 1000 S La Brea Ave Ste 2, Inglewood, CA 90301-3869 | 2020-11-03 |
| 1174123038 | Socal Medical Center., Inc. | Family Medicine | 1350 E Los Angeles Ave Ste 204, Simi Valley, CA 93065-2860 | 2020-10-29 |
| 1205435864 | Montana Affinity LLC | Family Medicine | 820 N Mountain Ave Ste 103, Upland, CA 91786-4163 | 2020-10-23 |
| 1861091126 | Silvia Diego Md Inc A Professional Medical Corp | Family Medicine | 1317 Oakdale Rd Ste 100, Modesto, CA 95355-3362 | 2020-10-19 |
| 1245838879 | Lalaine Talagtag Smith | Family Medicine | 919 Mariner Dr Apt C, Mountain View, CA 94043-3372 | 2020-10-15 |
| 1417554023 | Hameed A. Khan, M.d., Inc. | Family Medicine | 3655 Lomita Blvd Ste 421, Torrance, CA 90505-1934 | 2020-10-06 |
| 1073120085 | Garrison Family Medical Group Inc | Family Medicine | 41210 11th St W Ste C, Palmdale, CA 93551-1447 | 2020-09-24 |
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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.