DR. MARK DAVID EDELSTEIN (NPI# 1972516714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972516714 |
| Entity Type | Individual |
| Full Name | DR. MARK DAVID EDELSTEIN |
| Credential | M.D. |
| Practice Address |
1933 9th Ave Sacramento CA 95818-4214 |
| Practice Telephone | 9164424682 |
| Mailing Telephone | 9164424682 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2012-03-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
C41340 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL PIN | 00C41340(0) | 01 |
| CA | SACRAMENTO CY. PROVIDER # | 1177 | 01 |
| CA | SAN JOAQUIN COUNTY MENTAL HEALTH DEPT. | 1238 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437684446 | Mark Mark Edelstein | Student in an Organized Health Care Education/Training Program | 1250 E Marshall St, Richmond, VA 23298-5051 | 2017-04-27 |
| 1114981222 | Mark Edelstein | Internal Medicine | 4100 John R, Karmanos Cancer Center, Detroit, MI 48201-2013 | 2006-04-14 |
| 1669444352 | Mark Edelstein | Obstetrics & Gynecology | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2006-02-06 |
| 1750385696 | Mark R Edelstein | Internal Medicine | 1999 Sproul Rd, Ste 21, Broomall, PA 19008-3508 | 2005-06-09 |
| Street Address |
1933 9TH AVE |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95818-4214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206557 | Ten Acres Pharmacy | Pharmacy | 2930 Freeport Blvd, Sacramento, CA 95818 | 2020-05-14 |
| 1467928200 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 3680 Crocker Dr, Ste 100, Sacramento, CA 95818 | 2018-10-19 |
| 1295254084 | Family Business Ventures LLC | In Home Supportive Care | 2026 X Street, Sacramento, CA 95818 | 2017-09-13 |
| 1932656550 | Roshelle Chan | Student in an Organized Health Care Education/Training Program | 1964 36th Street, Sacramento, CA 95818 | 2016-09-01 |
| 1144692724 | Ivyridge Assisted Living | Assisted Living Facility | 2030 23 Rd Street, Sacramento, CA 95818 | 2015-10-22 |
| 1255672788 | Kimberly Ann Delaney | Speech-Language Pathologist | 2741 Riverside Blvd Ste 2, Sacramento, CA 95818 | 2013-03-07 |
| 1285985473 | Salatha Helton | Marriage & Family Therapist | 3067 Freeport Blvd Ste 8, Sacramento, CA 95818 | 2012-09-27 |
| 1508976382 | Victoria M Sarantopulos | Marriage & Family Therapist | 2015 21st St Suite 304, Sacramento, CA 95818 | 2006-08-30 |
| 1871986638 | Connected Speech Therapy, Inc. | Speech-Language Pathologist | 2741 Riverside Blvd Ste 2, Sacramento, CA 95818 | 2015-03-18 |
| 1851640965 | Chris Arbabian | Chiropractor | 2716 V Street, Sacramento, CA 95818 | 2012-09-05 |
| Find all providers in zip 95818 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962530394 | Penelope K Knapp | Psychiatry & Neurology | 1600 9th St, Suite 151, Sacramento, CA 95814-6404 | 2007-02-28 |
| 1649349556 | David Rue | Psychiatry & Neurology | 8001 Folsom Blvd Ste 110, Sacramento, CA 95826-2621 | 2006-11-06 |
| 1275613168 | Don Young | Psychiatry & Neurology | 7171 Bowling Dr Ste 300, Sacramento, CA 95823-2043 | 2006-10-16 |
| 1982714143 | Fatemeh Shirin Ghaheri | Psychiatry & Neurology | 3671 Business Drive, Suite #100, Caare Diagnostic & Treatment Center, Sacramento, CA 95820-2165 | 2006-08-30 |
| 1063433100 | Marigold Nabong-verzosa | Psychiatry & Neurology | 8912 Volunteer Ln, Sacramento, CA 95826-3221 | 2006-07-22 |
| 1841215001 | Harry Carl Wang | Psychiatry & Neurology | 6355 Riverside Blvd, Suite S, Sacramento, CA 95831-1143 | 2006-07-12 |
| 1568445450 | Malia Audrey Mccarthy | Psychiatry & Neurology | 9343 Tech Center Dr, Sacramento, CA 95826-2563 | 2005-11-23 |
| 1134101454 | Robert O. Horst | Psychiatry & Neurology | 3331 Power Inn Rd Ste 140, Sacramento, CA 95826-3889 | 2005-11-14 |
| 1902809460 | Stewart Edward Teal | Psychiatry & Neurology | 811 Grand Ave Ste D, Sacramento, CA 95838-3466 | 2005-05-27 |
| 1073046199 | Melinda Armstead | Psychiatry & Neurology | 2230 Stockton Blvd, Sacramento, CA 95817-1353 | 2017-04-05 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95818 |
Please comment or provide details below to improve the information on DR. MARK DAVID EDELSTEIN.
| 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.