MARK R. AVON (NPI# 1689711756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689711756 |
| Entity Type | Individual |
| Full Name | MARK R. AVON |
| Credential | M.D. |
| Practice Address |
1999 Mowry Ave Ste 2m Fremont CA 94538-1706 |
| Practice Telephone | 5107933505 |
| Practice Fax Number | 5107934799 |
| Mailing Telephone | 5107933505 |
| Mailing Fax Number | 5107934799 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | A43035 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A430350 | 05 | |
| CA | CA MEDICAL LICENSE | A43035 | 01 |
| Street Address |
1999 MOWRY AVE STE 2M |
| City | FREMONT |
| State | CA |
| Zip Code | 94538-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568675700 | John Heine M.d. & Mark Avon M.d. Ptrs | Specialist | 1999 Mowry Ave Ste 2m, Fremont, CA 94538-1706 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| Find all providers in zip 94538 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124007042 | Urology Health Center PC | Urology | 2735 N Clarkson St, Fremont, NE 68025 | 2006-01-10 |
| 1912903071 | Richard J Long | Urology | 1999 Mowry Ave #2m, Fremont, CA 94538-1706 | 2005-06-23 |
| 1376930941 | Andrew Kuiwai Leung | Urology | 3140 Kearney St, Fremont, CA 94538-2292 | 2015-04-22 |
| 1477980753 | Promedica Genito-urinary Surgeons LLC | Urology | 605 3rd Ave Ste A, Suite B, Fremont, OH 43420-3269 | 2013-10-02 |
| 1851616486 | Mark Hsu | Urology | 39141 Civic Center Dr Ste 335, Fremont, CA 94538-5878 | 2010-04-07 |
| 1760652184 | Rao Sunkavally | Urology | 1999 Mowry Ave, Suite 2-d, Fremont, CA 94538-1738 | 2008-03-03 |
| 1639242886 | Rao V Sunkavally Md | Urology | 1999 Mowry Ave, Suite 2d, Fremont, CA 94538 | 2006-11-16 |
| 1831270651 | John Parker Heine | Urology | 1999 Mowry Ave, #2m, Fremont, CA 94538 | 2006-10-18 |
| 1225133788 | Rajesh Shinghal | Urology | 3200 Kearney St, Fremont, CA 94538-2299 | 2006-09-13 |
| 1366478190 | Mark Saleh | Urology | 39141 Civic Center Dr, Ste 335, Fremont, CA 94538-5818 | 2006-06-23 |
| Find all providers in FREMONT | ||||
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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.