MARK S. BETTERMON


Address: 22233 Village 22, Camarillo, CA 93012
Phone: 8059870691

MARK S. BETTERMON (NPI# 1417367079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417367079
Entity Type Individual
Full Name MARK S. BETTERMON
Credential M.D. D.O.
Practice Address 22233 Village 22
Camarillo
CA 93012
Practice Telephone 8059870691
Mailing Telephone 8059870691
Enumeration Date 2014-05-05
Last Update Date 2014-05-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207U00000X Nuclear Medicine A28689 CA Allopathic & Osteopathic Physicians
Y 208D00000X General Practice A28689 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 22233 VILLAGE 22
City CAMARILLO
State CA
Zip Code 93012

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1568797967 Avannet, Inc. General Practice 79 E Daily Dr Ste 179, Camarillo, CA 93010-5807 2009-10-02
1669464715 Camarillo Springs Holistic Medical General Practice 816 Camarillo Springs Rd, #e, Camarillo, CA 93012-9441 2005-08-16
1154613024 Wilson Fung Md Inc General Practice 2412 N Ponderosa Dr, B103, Camarillo, CA 93010-2373 2011-05-10
1659673382 Hung Vu Do General Practice 3100 Wright Rd, Camarillo, CA 93010-8307 2010-12-01
1205024130 Thomas R. Phelps, M.d., Inc. General Practice 2275 Las Posas Rd, Camarillo, CA 93010-3344 2007-10-04

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Competitor

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City CAMARILLO
Zip Code 93012

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Dataset Information

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.

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