MARK BERNHARD, D.O. INC. (NPI# 1487869558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487869558 |
| Entity Type | Organization |
| Organization Name | MARK BERNHARD, D.O. INC. |
| Practice Address |
1060 E Green St Suite 107 Pasadena CA 91106-2413 |
| Practice Telephone | 6265841112 |
| Practice Fax Number | 6265840453 |
| Mailing Telephone | 6265841112 |
| Mailing Fax Number | 6265840453 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARK DOUGLAS BERNHARD (OWNER) |
| Authorized Official Telephone | 6265841112 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
20A4471 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE | 20A4471 | 01 |
| Street Address |
1060 E GREEN ST SUITE 107 |
| City | PASADENA |
| State | CA |
| Zip Code | 91106-2413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306824545 | Marilynn W Moore | Internal Medicine | 1060 E Green St, #204, Pasadena, CA 91106 | 2006-01-06 |
| 1639613987 | Sonia Martin | Psychologist | 1060 E Green St, Suite 207, Pasadena, CA 91106-2408 | 2016-12-06 |
| 1679016844 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 1060 E Green St, Suite #207, Pasadena, CA 91106-2408 | 2016-11-21 |
| 1972900991 | Dr James Chung | Acupuncturist | 1060 E Green St, Suite 106, Pasadena, CA 91106-2408 | 2014-11-20 |
| 1043553845 | Judith Dytman Baldwin | Marriage & Family Therapist | 1060 E Green St, Suite 109, Pasadena, CA 91106-2408 | 2013-03-29 |
| 1215268917 | Sahniah Siciarz-lambert | Internal Medicine | 1060 E Green St, Ste 101, Pasadena, CA 91106-2408 | 2010-01-19 |
| 1265602395 | Vasag H Bouzoghlanian | Dentist | 1060 E Green St, Suite 203, Pasadena, CA 91106-2408 | 2008-03-05 |
| 1437277266 | Tailee Mario Tse | Dentist | 1060 E Green St, Suite # 208, Pasadena, CA 91106-2413 | 2007-03-27 |
| 1386719904 | Mark Douglas Bernhard | Physical Medicine & Rehabilitation | 1060 E Green St, #107, Pasadena, CA 91106-2413 | 2006-11-21 |
| 1538265673 | Sheilah M Clayton | Surgery | 1060 E Green St, Suite 108, Pasadena, CA 91106-2431 | 2006-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625987 | Alexa Ann Mettrick | Behavior Technician | 1055 E. Colorado Blcd., Suite 560, Pasadena, CA 91106 | 2020-06-25 |
| 1780205344 | Giovani Telusma | Behavior Technician | 1055 E Colorado Blvd Ste 560 Pasadena, Pasadena, CT 91106 | 2020-05-05 |
| 1356838973 | Susan Ende | Marriage & Family Therapist | 945 Hillcrest Place, Pasadena, CA 91106 | 2018-04-19 |
| 1639678287 | Sean C Velazco | Counselor | 1245 E. Walnut St., Pasadena, CA 91106 | 2018-02-09 |
| 1023558848 | Gregory Ohanian Dds Ms Inc. | Dentist | 225 North Allen Avenue, Pasadena, CA 91106 | 2017-02-27 |
| 1508308586 | Quik Care Express Inc | Non-emergency Medical Transport (VAN) | 592 N. Wilson Ave, 5, Pasadena, CA 91106 | 2016-11-08 |
| 1194119867 | Kimberly Ann Ebner | Dentist | 1060 E. Green St., Suite 105, Pasadena, CA 91106 | 2015-03-20 |
| 1346645512 | Neogenomics Laboratories Inc | Specialist | 840 Cameron Dr, Pasadena, CA 91106 | 2014-10-29 |
| 1255756524 | Tirso Deljunco Sr. | Surgery | 1010 E. Union St., #130, Pasadena, CA 91106 | 2014-02-24 |
| 1386072601 | Hiroko Ogura | Acupuncturist | 1224 E Green St Ste 100, Pasadena, CA 91106 | 2013-10-23 |
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| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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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.