MARK RAYMOND BERTOGLIO (NPI# 1407810633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407810633 |
| Entity Type | Individual |
| Full Name | MARK RAYMOND BERTOGLIO |
| Credential | MD |
| Practice Address |
2721 Olive Hwy Ste 12 Oroville CA 95966 |
| Practice Telephone | 5305336061 |
| Practice Fax Number | 5305334438 |
| Mailing Telephone | 5305336061 |
| Mailing Fax Number | 5305334438 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G34557 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | G34557 | 01 |
| CA | GR0014101 | 05 | |
| DEA | AB9765819 | 01 |
| Street Address |
2721 OLIVE HWY STE 12 |
| City | OROVILLE |
| State | CA |
| Zip Code | 95966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114917499 | Vaughn Jeffrey Smith | Family Medicine | 2721 Olive Hwy, Suite 8, Oroville, CA 95966-6115 | 2005-10-26 |
| 1629512934 | Oroville Hospital | General Acute Care Hospital | 2721 Olive Hwy, Oroville, CA 95966-6115 | 2016-12-06 |
| 1184018137 | Lifang Peng | Physician Assistant | 2721 Olive Hwy, Suite 7, Oroville, CA 95966-6115 | 2015-03-26 |
| 1679834113 | Charles A Garretson Md Sole Mbr | Internal Medicine | 2721 Olive Hwy, Ste 2, Oroville, CA 95966-6115 | 2012-05-31 |
| 1295095693 | Oroville Hospital | Clinic/Center | 2721 Olive Hwy, Suite 5, Oroville, CA 95966-6115 | 2012-05-21 |
| 1154610996 | Ki Xiong | Podiatrist | 2721 Olive Hwy, Suite 5, Oroville, CA 95966-6115 | 2011-04-01 |
| 1740583095 | Oroville Hospital | Clinic/Center | 2721 Olive Hwy, Suite 9, Oroville, CA 95966-6115 | 2010-12-08 |
| 1942467519 | Theresa Anne O' Hair | Nurse Practitioner | 2721 Olive Hwy, Oroville, CA 95966-6115 | 2008-05-20 |
| 1457405243 | Eric Redmer | Pharmacist | 2721 Olive Hwy, Oroville, CA 95966-6115 | 2007-01-22 |
| 1689743064 | Mammen George Chandy | Surgery | 2721 Olive Hwy, Suite 4, Oroville, CA 95966-6115 | 2006-11-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518507078 | Rachel Saake Collar | Nurse Practitioner | 5100, 1000 Executive Pkwy, Oroville, CA 95966 | 2020-01-13 |
| 1467001230 | Elijah House, Los Molinos | Substance Abuse Rehabilitation Facility | 7904 Hwy 99e, Oroville, CA 95966 | 2019-09-05 |
| 1689180838 | Jessica Dawn Legg | Registered Nurse | 120 Kokanee Drive, Oroville, CA 95966 | 2017-12-26 |
| 1992220198 | Vanesa Kim Van Tran I | Counselor | 24 Pleasant Oak Lane, Oroville, CA 95966 | 2017-08-08 |
| 1861930919 | Addiction Counseling and Treatment Solutions, LLC | Substance Abuse Rehabilitation Facility | 1749 Boynton Avenue, Oroville, CA 95966 | 2017-02-09 |
| 1790181519 | Tyra Graham | Counselor | 6590 Upper Palermo Rd., Oroville, CA 95966 | 2014-11-05 |
| 1568710747 | Tri County Treatment | Substance Abuse Rehabilitation Facility | 2740 Oro Dam Blvd, Oroville, CA 95966 | 2012-08-21 |
| 1255690079 | Country Crest, LLC | Skilled Nursing Facility | 50 Concordia Lane, Oroville, CA 95966 | 2012-05-14 |
| 1710140454 | Brandi Halsted | Social Worker | 2145 Fifth Ave, Oroville, CA 95966 | 2008-07-02 |
| 1336308360 | Geraldine Grace Cummings | Licensed Vocational Nurse | 439 Dunstone Drive, Oroville, CA 95966 | 2008-06-05 |
| Find all providers in zip 95966 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376795468 | Sudeep Kaur Ghuman | Internal Medicine | 2809 Olive Hwy Ste 150, Oroville, CA 95966-6133 | 2008-10-21 |
| 1285681056 | Virgil Hilarn Duvernay | Internal Medicine | 2450 Oro Dam Blvd E, Oroville, CA 95966-6052 | 2006-05-27 |
| 1609864388 | Rhea Y Licuanan | Internal Medicine | 2800 Lincoln Blvd., Oroville, CA 95966 | 2005-10-07 |
| 1952751596 | Christopher Cao Tonthat | Internal Medicine | 2767 Olive Hwy, Oroville, CA 95966-6118 | 2016-06-14 |
| 1467892984 | Yewande Adepoju | Internal Medicine | 2450 Oro Dam Blvd E, Oroville, CA 95966-6052 | 2013-06-28 |
| 1376981118 | Duke Tri Ha | Internal Medicine | 2767 Olive Hwy, Oroville, CA 95966-6118 | 2013-06-13 |
| 1285865436 | Sidharth Bagga | Internal Medicine | 2767 Olive Hwy, Oroville, CA 95966-6118 | 2009-08-06 |
| 1447378682 | Norman Arthur Baron | Internal Medicine | 2800 Lincoln St, Oroville, CA 95966-5961 | 2007-03-26 |
| 1578620076 | John Edwin Parsons Jr. | Internal Medicine | 2800 Lincoln Blvd, Oroville, CA 95966-5961 | 2007-01-03 |
| 1457424343 | Paul E Lentz | Internal Medicine | 2145 5th Avenue, Oroville, CA 95965 | 2006-11-16 |
| Find all providers in OROVILLE | ||||
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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.