MARK OLCOTT, M.D., INC. (NPI# 1366909533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366909533 |
| Entity Type | Organization |
| Organization Name | MARK OLCOTT, M.D., INC. |
| Practice Address |
720 E San Ysidro Blvd San Ysidro CA 92173-3101 |
| Practice Telephone | 6192617427 |
| Mailing Telephone | 6192617427 |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-02-25 |
| Authorized Official Name | DR. MARK VERNON OLCOTT (OWNER/PRESIDENT) |
| Authorized Official Telephone | 6197950102 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mission Medical Support | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962947317 | Mark Olcott, M.d., Inc. | Emergency Medicine | 3609 Lotus Dr, San Diego, CA 92106-1136 | 2016-12-21 |
| Street Address |
720 E SAN YSIDRO BLVD |
| City | SAN YSIDRO |
| State | CA |
| Zip Code | 92173-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417413048 | Prescott Michelle Lederer | Physician Assistant | 720 E San Ysidro Blvd, San Ysidro, CA 92173-3101 | 2019-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740707595 | Edith Gisel Herrera | Specialist/Technologist | 2370 Smythe Avenue #8, San Ysidro, CA 92173 | 2017-08-23 |
| 1508286709 | Negin Rajaipour | Family Medicine | 1601 Precision Park Ln, San Ysidro, CA 92173 | 2014-04-26 |
| 1962588376 | Jose Maria Alanis Amezcua | Obstetrics & Gynecology | 185 West San Ysidro Blvd, San Ysidro, CA 92173 | 2006-10-27 |
| 1346251535 | Yadira L Gamez | Dentist | 2004 Dairy Mart Rd, Ste 120, San Ysidro, CA 92173 | 2006-08-11 |
| 1558852947 | Centro De Salud De La Comunidad De San Ysidro Inc | Clinic/Center | 4050 Beyer Blvd, San Ysidro, CA 92173 | 2018-05-22 |
| 1194065813 | Diana Aguilar | Social Worker | 4004 Beyer Blvd, San Ysidro, CA 92173 | 2013-02-15 |
| 1710292248 | Nassera L Saidani | Physician Assistant | 4004 Beyer Blvd, San Ysidro, CA 92173 | 2010-08-09 |
| 1467536326 | Centro De Salud De La Comunidad De San Ysidro, Inc. | Pharmacy | 4004 Beyer Blvd, San Ysidro, CA 92173 | 2006-10-25 |
| 1871506378 | Clarissa A Castillo | Physician Assistant | 4004 Beyer Blvd, San Ysidro, CA 92173 | 2006-08-14 |
| 1992777882 | Elena Maria Bautista Sacamay | Internal Medicine | 4004 Beyer Blvd, San Ysidro, CA 92173 | 2006-02-03 |
| Find all providers in zip 92173 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
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| 1316561517 | Sagen Consulting, PC | Emergency Medicine | 10053 Bret Ave, Cupertino, CA 95014-3518 | 2020-06-03 |
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| 1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
| 1376177402 | Aria Urgent Care Associates, Inc | Emergency Medicine | 601 S Beach Blvd, Anaheim, CA 92804-3102 | 2020-02-27 |
| 1851922900 | Anna Lankester Webster | Emergency Medicine | 1600 Los Gamos Dr Ste 220, San Rafael, CA 94903-1842 | 2020-01-28 |
| 1487294385 | Cep America - Auc PC | Emergency Medicine | 240 La Casa Via Ste 200, Walnut Creek, CA 94598-4866 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | SAN YSIDRO |
| Zip Code | 92173 |
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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.