DR. MARK DOUGLAS BERNHARD (NPI# 1386719904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386719904 |
| Entity Type | Individual |
| Full Name | DR. MARK DOUGLAS BERNHARD |
| Credential | D.O. |
| Practice Address |
1060 E Green St #107 Pasadena CA 91106-2413 |
| Practice Telephone | 6265841112 |
| Mailing Telephone | 6265841112 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
20A4471 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013089739 | Mark Bernhard | Chiropractor | 616 Frederick St, Santa Cruz, CA 95062-2203 | 2006-11-15 |
| 1649228727 | Mark Bernhard | Family Medicine | 1180 W Wilson St, Ste E, Batavia, IL 60510-7611 | 2006-05-04 |
| 1912924515 | Mark H Bernhard | Family Medicine | 5612 Edwards Ranch Rd, Fort Worth, TX 76109-4145 | 2006-07-17 |
| Street Address |
1060 E GREEN ST #107 |
| City | PASADENA |
| State | CA |
| Zip Code | 91106-2413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306824545 | Marilynn W Moore | Internal Medicine | 1060 E Green St, #204, Pasadena, CA 91106 | 2006-01-06 |
| 1639613987 | Sonia Martin | Psychologist | 1060 E Green St, Suite 207, Pasadena, CA 91106-2408 | 2016-12-06 |
| 1679016844 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 1060 E Green St, Suite #207, Pasadena, CA 91106-2408 | 2016-11-21 |
| 1972900991 | Dr James Chung | Acupuncturist | 1060 E Green St, Suite 106, Pasadena, CA 91106-2408 | 2014-11-20 |
| 1043553845 | Judith Dytman Baldwin | Marriage & Family Therapist | 1060 E Green St, Suite 109, Pasadena, CA 91106-2408 | 2013-03-29 |
| 1215268917 | Sahniah Siciarz-lambert | Internal Medicine | 1060 E Green St, Ste 101, Pasadena, CA 91106-2408 | 2010-01-19 |
| 1265602395 | Vasag H Bouzoghlanian | Dentist | 1060 E Green St, Suite 203, Pasadena, CA 91106-2408 | 2008-03-05 |
| 1487869558 | Mark Bernhard, D.o. Inc. | Clinic/Center | 1060 E Green St, Suite 107, Pasadena, CA 91106-2413 | 2007-05-11 |
| 1437277266 | Tailee Mario Tse | Dentist | 1060 E Green St, Suite # 208, Pasadena, CA 91106-2413 | 2007-03-27 |
| 1538265673 | Sheilah M Clayton | Surgery | 1060 E Green St, Suite 108, Pasadena, CA 91106-2431 | 2006-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625987 | Alexa Ann Mettrick | Behavior Technician | 1055 E. Colorado Blcd., Suite 560, Pasadena, CA 91106 | 2020-06-25 |
| 1780205344 | Giovani Telusma | Behavior Technician | 1055 E Colorado Blvd Ste 560 Pasadena, Pasadena, CT 91106 | 2020-05-05 |
| 1356838973 | Susan Ende | Marriage & Family Therapist | 945 Hillcrest Place, Pasadena, CA 91106 | 2018-04-19 |
| 1639678287 | Sean C Velazco | Counselor | 1245 E. Walnut St., Pasadena, CA 91106 | 2018-02-09 |
| 1023558848 | Gregory Ohanian Dds Ms Inc. | Dentist | 225 North Allen Avenue, Pasadena, CA 91106 | 2017-02-27 |
| 1508308586 | Quik Care Express Inc | Non-emergency Medical Transport (VAN) | 592 N. Wilson Ave, 5, Pasadena, CA 91106 | 2016-11-08 |
| 1194119867 | Kimberly Ann Ebner | Dentist | 1060 E. Green St., Suite 105, Pasadena, CA 91106 | 2015-03-20 |
| 1346645512 | Neogenomics Laboratories Inc | Specialist | 840 Cameron Dr, Pasadena, CA 91106 | 2014-10-29 |
| 1255756524 | Tirso Deljunco Sr. | Surgery | 1010 E. Union St., #130, Pasadena, CA 91106 | 2014-02-24 |
| 1386072601 | Hiroko Ogura | Acupuncturist | 1224 E Green St Ste 100, Pasadena, CA 91106 | 2013-10-23 |
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| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275871436 | Hudson Medical Group | Physical Medicine & Rehabilitation | 530 S Lake Ave # 451, Pasadena, CA 91101-3515 | 2013-01-23 |
| 1114218658 | Triet Q Huynh Md Pa | Physical Medicine & Rehabilitation | 5150 Crenshaw Rd Ste B100, Pasadena, TX 77505-3095 | 2011-05-01 |
| 1619110269 | Equi-med Corp | Physical Medicine & Rehabilitation | 1252 N Sierra Bonita Ave, Pasadena, CA 91104-3147 | 2009-04-13 |
| 1518126176 | Jos Santz II | Physical Medicine & Rehabilitation | 2693 E. Washington Blvd, Pasadena, CA 91107 | 2008-06-08 |
| 1417974478 | Harout Raffi Balian | Physical Medicine & Rehabilitation | 333 N Hill Ave, Suite 101, Pasadena, CA 91106-1570 | 2006-07-16 |
| 1245615350 | Ryan Mattie | Physical Medicine & Rehabilitation | 1017 S Fair Oaks Ave, Pasadena, CA 91105 | 2015-07-30 |
| 1750673638 | Jared Myers | Physical Medicine & Rehabilitation | 2627 E Washington Blvd, Pasadena, CA 91107-1412 | 2011-05-10 |
| 1104001213 | Plb United, Pa | Physical Medicine & Rehabilitation | 923 Pasadena Fwy, Pasadena, TX 77506-1400 | 2008-01-08 |
| 1700067295 | Jaspreet Kaur Takhar | Physical Medicine & Rehabilitation | 393 E Walnut St, 3rd Floor - Phrs, Pasadena, CA 91188-0001 | 2007-11-26 |
| 1528196045 | Vibha Agrawal | Physical Medicine & Rehabilitation | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2007-02-28 |
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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.