DR. MARK ROBERT WADE (NPI# 1558569921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558569921 |
| Entity Type | Individual |
| Full Name | DR. MARK ROBERT WADE |
| Credential | M.D. |
| Practice Address |
1 Hope Dr Tustin CA 92782-0221 |
| Practice Telephone | 7142470300 |
| Mailing Telephone | 7142470300 |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2015-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
G47936 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972553410 | Mark W. Wade | Chiropractor | 295 N Broad St, Carlinville, IL 62626-1301 | 2006-05-12 |
| 1356307458 | Mark Alan Wade | Orthopaedic Surgery | 2310 Peger Rd, Ste 105, Fairbanks, AK 99709-5315 | 2006-04-26 |
| 1376512137 | Mark D. Wade | Optometrist | 12601 Olive Blvd, Saint Louis, MO 63141-6313 | 2006-03-15 |
| 1043769151 | Mark Wade | Physical Therapy Assistant | 2120 Highland Ave, Knoxville, TN 37916-1112 | 2016-09-30 |
| 1962782474 | Mark Wade | Pediatrics | 275 Hobart St, Perth Amboy, NJ 08861-3396 | 2011-08-29 |
| 1295929974 | Mark R Wade | Case Manager/Care Coordinator | 2151 College Ave, Bakersfield, CA 93305-4172 | 2007-09-05 |
| 1104964097 | Mark Harrison Wade | Counselor | 3169 2nd Ave E, Big Stone Gap, VA 24219 | 2007-02-02 |
| 1104814631 | Mark Wade | Optometrist | 2700 W College Ave, Appleton, WI 54914-2918 | 2005-10-10 |
| Street Address |
1 HOPE DR |
| City | TUSTIN |
| State | CA |
| Zip Code | 92782-0221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477196079 | Adrianne Wong | Physician Assistant | 1 Hope Dr, Tustin, CA 92782-0221 | 2019-10-26 |
| 1265916944 | Nichola Clemens Usher | Registered Nurse | 1 Hope Dr, Tustin, CA 92782-0221 | 2018-09-19 |
| 1316430754 | Allysha Varughese | Physician Assistant | 1 Hope Dr, Tustin, CA 92782-0221 | 2018-06-11 |
| 1073003786 | Jonathan Ramonty Chhean | Nurse Practitioner | 1 Hope Dr, Tustin, CA 92782-0221 | 2018-05-17 |
| 1720507437 | Susana Ortega Rios | Nurse Practitioner | 1 Hope Dr, Tustin, CA 92782-0221 | 2017-09-13 |
| 1629527692 | Stefanie Zargarbashi | Social Worker | 1 Hope Dr, Tustin, CA 92782-0221 | 2016-09-30 |
| 1114474897 | Karina Arredondo | Social Worker | 1 Hope Dr, Tustin, CA 92782-0221 | 2016-09-09 |
| 1578019774 | Gregory Fowler | Social Worker | 1 Hope Dr, Tustin, CA 92782-0221 | 2016-08-28 |
| 1063865509 | Rafael Ceja Ochoa | Dental Hygienist | 1 Hope Dr, Tustin, CA 92782-0221 | 2016-07-20 |
| 1447630249 | Brittani Griffin | Social Worker | 1 Hope Dr, Tustin, CA 92782-0221 | 2015-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548890528 | Christina Maria Clayton | Registered Nurse | 3100 Park Ave Apt 7-201, Tustin, CA 92782 | 2020-01-18 |
| 1447769963 | National Vision, Inc. | Technician/Technologist | 15020 Kensington Park Drive, J300, Tustin, CA 92782 | 2017-09-27 |
| 1487175410 | Vanson Dental Corporation | Dentist | 15160 Kensington Park Drive, Ste 610, Tustin, CA 92782 | 2017-06-29 |
| 1982133526 | Hee Eun Lee | Occupational Therapist | 2741 Dunstan Drive, Tustin, CA 92782 | 2017-06-07 |
| 1881129229 | Lydia Anna Bray | Pharmacist | 2102 Seminole, Tustin, CA 92782 | 2017-04-24 |
| 1427591577 | Charlie Huang | Internal Medicine | 15000 Kensington Park Dr Ste 250, Tustin, CA 92782 | 2016-11-21 |
| 1144672270 | Leiza Yamila Walia | Dentist | 15160 Kensington Park Dr Ste 610, Tustin, CA 92782 | 2016-07-13 |
| 1467831131 | Steven Yi Sun | Pediatrics | 15000 Kensington Park Dr, Tustin, CA 92782 | 2015-05-27 |
| 1639506405 | Medivan | Non-emergency Medical Transport (VAN) | 13800 Parkcenter Lane, Tustin, CA 92782 | 2013-10-10 |
| 1124266085 | Stacie Lynn Aragon | Counselor | 1 Hope Dr., Tustin, CA 92782 | 2009-01-30 |
| Find all providers in zip 92782 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1871734285 | Frank R. Villalobos | Internal Medicine | 18102 Irvine Blvd, Suite 103, Tustin, CA 92780-3402 | 2009-03-13 |
| 1942239306 | Dinesh Kumar | Internal Medicine | 14642 Newport Ave Ste 101, Tustin, CA 92780-6058 | 2006-06-30 |
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| 1932750957 | Enloe Medical Center | Internal Medicine | 1430 Esplanade Ste 6, Chico, CA 95926-3366 | 2019-09-20 |
| 1528610425 | Nicholas Russell | Internal Medicine | 2967 N Moorpark Rd, Thousand Oaks, CA 91360-4573 | 2019-07-10 |
| 1043871627 | Gy Medical Clinic Inc | Internal Medicine | 7400 Van Nuys Blvd Ste 112, Van Nuys, CA 91405-1972 | 2019-06-25 |
| 1902465792 | Pacific Heart & Vascular | Internal Medicine | 1234 W. Chapman Ave, Ste #101, Orange, CA 92868-2862 | 2019-06-06 |
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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.