MARK REEVES (NPI# 1467482554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467482554 |
| Entity Type | Individual |
| Full Name | MARK REEVES |
| Credential | M.D. |
| Practice Address |
11370 Anderson St Suite 2100 Loma Linda CA 92354-3450 |
| Mailing Address |
54701 File Number Los Angeles CA 90074-4701 |
| Practice Telephone | 9095582822 |
| Mailing Telephone | 9095583111 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2017-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
G83116 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G831160 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588777296 | Mark Reeves | Social Worker | 406 Chatham Square, Suite 101, Fredericksburg, VA 22403 | 2006-08-16 |
| 1952371718 | Mark M Reeves | Family Medicine | 4105 Briargate Pkwy Ste 125, Colorado Springs, CO 80920-3482 | 2006-01-25 |
| 1215486329 | Mark Leon Reeves | Counselor | 400 N Washington St, Farmington, MO 63640-1716 | 2016-09-30 |
| 1447513056 | Mark Daniel Reeves | Psychologist | 2634 Capital Cir Ne, Building C, Tallahassee, FL 32308-4106 | 2012-06-19 |
| 1770852931 | Mark D Reeves | Pharmacist | 842 E Main St, Danville, IL 61832-5957 | 2011-12-17 |
| 1134232382 | Mark T Reeves | Podiatrist | 904 7th Ave, Seattle, WA 98104-1132 | 2006-08-15 |
| Street Address |
11370 ANDERSON ST SUITE 2100 |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92354-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154310860 | Nerida T Bates | Pediatrics | 11370 Anderson St, Ste B-100, Loma Linda, CA 92354-3450 | 2005-10-14 |
| 1922520709 | Jodi Datema | Speech-Language Pathologist | 11370 Anderson St, Loma Linda, CA 92354-3450 | 2017-07-12 |
| 1619419066 | Diana Can | Nurse Practitioner | 11370 Anderson St, Suite 2050, Loma Linda, CA 92354-3450 | 2016-11-15 |
| 1356710875 | Jody Michelle Gonzalez | Pharmacist | 11370 Anderson St, Loma Linda, CA 92354-3450 | 2015-09-15 |
| 1558749382 | Stephanie Laroche Fegale | Obstetrics & Gynecology | 11370 Anderson St, Loma Linda, CA 92354-3450 | 2015-05-13 |
| 1033597018 | Craig Antone White | Ophthalmology | 11370 Anderson St, Loma Linda, CA 92354 | 2015-05-11 |
| 1104246016 | Juthamas Kositsawat | Obstetrics & Gynecology | 11370 Anderson St, Loma Linda, CA 92354 | 2014-04-17 |
| 1972941037 | Allie Ann Maus | Audiologist | 11370 Anderson St, Suite 2100, Loma Linda, CA 92354-3450 | 2013-06-11 |
| 1578908240 | Anh Nguyen Do | Dentist | 11370 Anderson St, Loma Linda, CA 92354-3450 | 2013-05-07 |
| 1376803288 | Philip David Eaton | Radiology | 11370 Anderson St, Loma Linda, CA 92354-3450 | 2012-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1932725645 | Dev Priya Singhvi | Student in an Organized Health Care Education/Training Program | 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 | 2020-06-18 |
| 1750901278 | Angela N Torres | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-24 |
| 1548899230 | Holistic Physical Therapy Inc. | Physical Therapist | 25003 Starr Str, Loma Linda, CA 92354 | 2020-04-03 |
| 1508494071 | Eric Allen | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Pediatrics, General, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-03-31 |
| 1730640244 | Rose Valley Rcfe | Assisted Living Facility | 11574 Poplar St, Loma Linda, CA 92354 | 2019-03-27 |
| 1336633676 | David A Lawrence | Student in an Organized Health Care Education/Training Program | Loma Linda University Hospital, 11234 Anderson St., Loma Linda, CA 92354 | 2018-06-20 |
| 1205329547 | Rachael Nicole Spady | Student in an Organized Health Care Education/Training Program | Loma Linda University Health - Obstetrics & Gynecology, 11234 Anderson St, Loma Linda, CA 92354 | 2018-06-12 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| Find all providers in zip 92354 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306157094 | Chi Tonglien Viet | Surgery | 11092 Anderson St, Loma Linda, CA 92350-6402 | 2010-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801418702 | Farzad Alemi Md Inc | Surgery | 3628 E Imperial Hwy Ste 103, Lynwood, CA 90262-2600 | 2020-05-13 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1225511835 | Brendan Boland Md Inc | Surgery | 9001 Wilshire Blvd Ste 207, Beverly Hills, CA 90211-1843 | 2018-09-10 |
| 1508377409 | Curetology Surgical Oncology Medical Corporation & Associates | Surgery | 1127 Wilshire Blvd Ste 1604, Los Angeles, CA 90017-4007 | 2017-10-18 |
| 1770966178 | Sinziana Dumitra | Surgery | 1500 Durate Road California, Mob L001, Duarte, CA 91010 | 2015-07-02 |
| 1336572734 | Lana D Louie | Surgery | 18370 Burbank, Suite 607, Tarzana, CA 91356-2833 | 2013-08-21 |
| 1942544515 | Leland J Foshag, Md Inc | Surgery | 11818 Wilshire Blvd Ste 200, Los Angeles, CA 90025-6647 | 2012-11-20 |
| 1447516935 | Fank B Callipari X | Surgery | 14914 Huntington Gate Dr, Poway, CA 92064-6709 | 2012-04-09 |
| 1649549767 | Joseph Dotan | Surgery | 1618 Woodlands Rd, Beaumont, CA 92223-8569 | 2011-12-19 |
| 1679801609 | Carl Mason Sutherland II | Surgery | 539 28th Ave, San Mateo, CA 94403-2601 | 2009-12-02 |
| Find all providers with the same taxonomy | ||||
| City | LOMA LINDA |
| Zip Code | 92354 |
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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.