DR. MARK LAVERNE JANZEN


Address: 10800 Magnolia Avenue, Kaiser Permanente Riverside Medical Center, Riverside, CA 92505
Phone: 4407810931

DR. MARK LAVERNE JANZEN (NPI# 1932329265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932329265
Entity Type Individual
Full Name DR. MARK LAVERNE JANZEN
Credential MD
Practice Address 10800 Magnolia Avenue
Kaiser Permanente Riverside Medical Center
Riverside
CA 92505
Mailing Address 10800 Magnolia Avenue, Mob1, 2nd Floor, Module 216
Kaiser Permanente Riverside Medical Center
Riverside
CA 92505
Practice Telephone 4407810931
Mailing Telephone 4407810931
Enumeration Date 2007-04-27
Last Update Date 2017-01-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery 089484 OH Allopathic & Osteopathic Physicians
N 2086S0127X Surgery
Specialization: Trauma Surgery
089484 OH Allopathic & Osteopathic Physicians
Y 2086S0129X Surgery
Specialization: Vascular Surgery
A90203 CA Allopathic & Osteopathic Physicians

Other Providers MARK JANZEN

NPI Name Taxonomy Address Enumeration
1699758961 Mark A Janzen Radiology 4111 S Darlington Ave, Ste 700, Tulsa, OK 74135-6348 2005-11-21

Office Location

Street Address 10800 MAGNOLIA AVENUE,
KAISER PERMANENTE RIVERSIDE MEDICAL CENTER
City RIVERSIDE
State CA
Zip Code 92505

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205458460 Mark Anthony Vargas Behavioral Analyst 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 2020-05-11
1568099976 Victoria Lee Student in an Organized Health Care Education/Training Program Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 2020-03-25
1588222087 A Homecare Services, Inc In Home Supportive Care 4193 Flat Rock Road, Building 200 Suite 206, Riverside, CA 92505 2019-05-31
1609302397 Tap Pharmacy, Inc. Pharmacy 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 2017-05-02
1467998658 Onofre Gascon Behavior Technician 11711 Collett Ave, #1614, Riverside, CA 92505 2017-01-11
1780038505 Nash David Martinez Emergency Medicine 10800 Magnolia Ave Dept of Emergency Medicine, Kaiser Permanente Hospital, Riverside, CA 92505 2016-04-18
1447639901 Jose Joel Manalese Dds Inc Dentist 3950 Pierce St., Suite L., Riverside, CA 92505 2015-05-29
1821493230 Jean Huynh Physician Assistant 11725 State Ave., Suite 100, Riverside, CA 92505 2014-10-28
1003160649 Elaf Farahat Dietitian, Registered 10800 Magnolia Avenue., Riverside, CA 92505 2012-11-05
1730458217 Tammy Lynn Gilmore Non-emergency Medical Transport (VAN) 10770 Hole Avenue, 106, Riverside, CA 92505 2011-12-29
Find all providers in zip 92505

Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114147592 Franklin Kieu Torres Surgery 3660 Park Sierra Dr Ste 105, Riverside, CA 92505-3071 2007-04-26
1215135496 Xiu-jie Wang Surgery 3660 Park Sierra Dr, Suite 105, Riverside, CA 92505-3081 2007-07-10
1861541153 Brian S. Campbell Surgery 10800 Magnolia Ave, Riverside, CA 92505-3043 2007-01-09
1598813396 James D. Simpson Surgery 10800 Magnolia Ave, Riverside, CA 92505-3043 2007-01-08
1366452245 Sung K Kim Surgery 10800 Magnolia Ave, Department of General Surgery, Riverside, CA 92505-3043 2006-08-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881213817 Robert Morton Carroll X Surgery 2241 Century Hl, Los Angeles, CA 90067-3506 2020-04-09
1992341895 Surgicalist of Ca PC Surgery 3300 E South St Ste 301a, Lakewood, CA 90805-4549 2019-11-26
1528600558 Kevin M Casey Md Apmc Surgery 1919 State St # 204-206, Santa Barbara, CA 93101-2430 2019-10-10
1487117594 John Nastasi Surgery 100 W Valencia Mesa Dr # 211, Fullerton, CA 92835-3768 2019-04-08
1225508385 Jay Labourene Surgery 1550 G Tiburon Blvd, Tiburon, CA 94920-2531 2018-12-03
1467922120 Paul Bressman Md Inc Surgery 1493 S Crest Dr, Los Angeles, CA 90035-3339 2018-11-26
1437638517 Thousand Oaks Vein Clinic PC Surgery 225 N Moorpark Rd Ste C, Thousand Oaks, CA 91360-4320 2018-08-09
1881186377 Lavs Access Center Inc. Surgery 620 W Beverly Blvd Ste B, Montebello, CA 90640-3624 2018-05-31
1841789328 Sunil Rayan, M.d., Inc. Surgery 320 Santa Fe Dr Ste 212, Encinitas, CA 92024-5139 2018-05-09
1245739820 Northridge Vascular Center A Professional Medical Corporation Surgery 19331 Business Center Dr Ste 102, Northridge, CA 91324-3533 2018-02-08
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Competitor

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City RIVERSIDE
Zip Code 92505

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Dataset Information

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.

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