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).
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 |
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 |
Street Address |
22233 VILLAGE 22 |
City | CAMARILLO |
State | CA |
Zip Code | 93012 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992322895 | Natasha Nichole Johnson | Licensed Vocational Nurse | 1750 A S Lewis Rs, Camarillo, CA 93012 | 2020-06-26 |
1609392604 | Dain Emmanuel Acevedo | Counselor | 5284 Adolfo Road Suite 100, Camarillo, CA 93012 | 2017-08-21 |
1679093751 | Emily Sophia Rodriguez | Counselor | 5284 Adolfo Rd. Suite 100, Camarillo, CA 93012 | 2017-06-21 |
1164952750 | Valerie Marie Inez Rivera | Counselor | 5284 Adolfo Rd #100, Camarillo, CA 93012 | 2017-06-15 |
1457890709 | Constance Walsh | Prosthetic/Orthotic Supplier | 795 Camarillo Springs Rd, Suite C, Carmarillo, CA 93012 | 2017-02-20 |
1902349020 | Ferdinand Fortune Cuico | Registered Nurse | 421 Brister Park Ct, Camarillo, CA 93012 | 2016-11-21 |
1699226795 | Lauren Streiter | Counselor | 1750b S Lewis Rd, Camarillo, CA 93012 | 2016-10-24 |
1972955649 | Evolve Growth Initiatives, LLC | Community Based Residential Treatment Facility, Mental Illness | 799 Camarillo Springs Road, Ventura, CA 93012 | 2016-07-06 |
1083075089 | Justin Rodriguez Urbano | Dental Hygienist | 4422 Corte Arbusto, Camarillo, CA 93012 | 2016-03-18 |
1578924619 | Leslie Winn | Counselor | 291 Camino Leon, Camarillo, CA 93012 | 2016-03-17 |
Find all providers in zip 93012 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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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1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
Find all providers with the same taxonomy |
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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.