MARK NEAL ISAACS (NPI# 1396785598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396785598 |
| Entity Type | Individual |
| Full Name | MARK NEAL ISAACS |
| Credential | M.D. |
| Practice Address |
1981 N Broadway Ste 270 Walnut Creek CA 94596-3886 |
| Mailing Address |
630 Thomas L Berkley Way Apt 508 Oakland CA 94612-1865 |
| Practice Telephone | 9259326442 |
| Practice Fax Number | 9259326260 |
| Mailing Telephone | 5105691310 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2019-06-06 |
| NPI Deactivation Date | 01/25/2019 |
| NPI Reactivation Date | 2019-05-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G32292 | CA | Other Service Providers |
| N | 207Q00000X | Family Medicine | G32292 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013092253 | Mark A Isaacs | Nurse Anesthetist, Certified Registered | 1600 Carraway Blvd, Birmingham, AL 35234-1913 | 2006-10-26 |
| Street Address |
1981 N BROADWAY STE 270 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94596-3886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917229 | Alison M Khaddour | Behavior Technician | 800 S Broadway Ste. 310, Walnut Creek, CA 94596 | 2019-02-06 |
| 1134683618 | Ian Colas | Respiratory Therapist, Certified | 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 | 2019-01-29 |
| 1912474131 | Albert Dizon Miraflores | Behavior Technician | 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 | 2018-10-25 |
| 1487136834 | Daryn Stier | Social Worker | 80 Norlyn Drive, Walnut Creek, CA 94596 | 2018-09-02 |
| 1831682335 | Jessica Lim | Registered Nurse | 1357 Oakland Blvd, Walnut Creek, CA 94596 | 2018-06-08 |
| 1699278432 | Alanna Everhart | Behavior Technician | 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 | 2018-03-16 |
| 1962958108 | Derek Jue Md | Clinic/Center | 1812 San Miguel Drive, Walnut Creek, CA 94596 | 2016-08-28 |
| 1912369711 | Pamela Jean Lister | Marriage & Family Therapist | 2070 N Broadway, #5370, Walnut Creek, CA 94596 | 2016-03-22 |
| 1548635147 | Anne Lamoreaux Anderson | Behavioral Analyst | 800 South Broadway Suite #310, Walnut Creek, CA 94596 | 2015-12-08 |
| 1346619434 | Christine Anne Gotelli | Registered Nurse | 370 N. Civic Drive #311, San Francico, CA 94596 | 2015-09-18 |
| Find all providers in zip 94596 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164982799 | Salma Schempp | Specialist | 1632 Siskiyou Dr, Walnut Creek, CA 94598-2119 | 2019-03-20 |
| 1407248883 | Playwrite Therapy East Bay | Specialist | 1661 Tice Valley Blvd, Suite 100, Walnut Creek, CA 94595-1692 | 2015-02-23 |
| 1700138666 | William John Storz Jr. | Specialist | 18 Mi Elana Ct, Walnut Creek, CA 94598-3839 | 2012-10-02 |
| 1356609424 | Gary Joseph Young | Specialist | 131 Corte Del Prado, Walnut Creek, CA 94598-3435 | 2012-04-26 |
| 1598030066 | Leonard Morris Johnson | Specialist | 568 Monarch Ridge Dr, Walnut Creek, CA 94597-2956 | 2012-03-17 |
| 1609149020 | Cheryl Fenner Brown | Specialist | 325 North Wiget Lane, Suite 130, Walnut Creek, CA 94598 | 2012-02-15 |
| 1245478098 | Conrad Dean Colbrandt | Specialist | 2430 Walnut Blvd, Walnut Creek, CA 94597-3835 | 2009-02-02 |
| 1134397292 | Gregory R. Banting | Specialist | 2950 Buskirk Ave., Suite 300, Walnut Creek, CA 94597-6900 | 2008-02-12 |
| 1598954380 | George Huang | Specialist | 640 La Casa Via, Walnut Creek, CA 94598-4924 | 2007-10-17 |
| 1720275878 | Rosemary Delgado Md., Inc | Specialist | 240 La Casa Via Ste 100, Walnut Creek, CA 94598-4863 | 2007-10-02 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94596 |
Please comment or provide details below to improve the information on MARK NEAL ISAACS.
| 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.