Mark A Costello (NPI# 1710193602, PAC ID# 7618076522) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
Nation Provider ID (NPI) | 1710193602 |
PAC ID by PECOS | 7618076522 |
Professional Enrollment ID | I20070618000480 |
Full Name | Mark A Costello |
Organization Legal Name | MESA PHYSICAL THERAPY |
Address |
7510 Clairemont Mesa Blvd Suite 103 San Diego CA 92111-1539 |
Phone Number | 8582772277 |
Gender | M |
Graduation Year | 1986 |
Primary Specialty | PHYSICAL THERAPY |
Group Practice PAC ID | 4385625052 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
7510 Clairemont Mesa Blvd, Suite 103, San Diego, CA 92111-1539 | 8582772277 | MESA PHYSICAL THERAPY |
Organization Legal Name | MESA PHYSICAL THERAPY |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Randall L Gustafson | Physical Therapy | Mesa Physical Therapy | 7510 Clairemont Mesa Blvd, Suite 103, San Diego, CA 92111-1539 |
Michelle E Miles Kessel | Occupational Therapy | Mesa Physical Therapy | 7510 Clairemont Mesa Blvd, Suite 103, San Diego, CA 92111-1539 |
Street Address |
7510 CLAIREMONT MESA BLVD SUITE 103 |
City | SAN DIEGO |
State | CA |
Zip | 92111-1539 |
Name | Specialty | Organization | Address |
---|---|---|---|
Randall L Gustafson | Physical Therapy | Mesa Physical Therapy | 7510 Clairemont Mesa Blvd, Suite 103, San Diego, CA 92111-1539 |
Michelle E Miles Kessel | Occupational Therapy | Mesa Physical Therapy | 7510 Clairemont Mesa Blvd, Suite 103, San Diego, CA 92111-1539 |
Name | Specialty | Organization | Address |
---|---|---|---|
Francesca D Adriano | Family Medicine | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
Peter T Hum | Internal Medicine | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
Eric M Macy | Allergy/immunology | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
Elisa S Ng | Internal Medicine | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
Deanna M Wong Wan | Optometry | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
Maryam A Rahimi | Family Medicine | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
Carolyn E Snarskis | Family Medicine | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
Nashwa Aziz-butler | Family Medicine | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
Flavia Oprea | Family Medicine | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
Michael Schatz | Allergy/immunology | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
Find all physicians in zip 92111 |
City | SAN DIEGO |
Zip Code | 92111 |
Specialty | PHYSICAL THERAPY |
City + Specialty | SAN DIEGO + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Mark A Costello.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.