DR. RICHARD E MACK JR. (NPI# 1023225810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023225810 |
| Entity Type | Individual |
| Full Name | DR. RICHARD E MACK JR. |
| Credential | M.D. |
| Practice Address |
16311 Ventura Blvd Suite 1080 Encino CA 91436-2124 |
| Practice Telephone | 8185015073 |
| Mailing Telephone | 8185015073 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
G 81683 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA MEDICAL LICENS | G 81683 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619063328 | Richard Norman Mack | Psychiatry & Neurology | 23822 Valencia Blvd, # 204, Valencia, CA 91355-5302 | 2006-10-04 |
| 1386741999 | Richard D Mack | Pediatrics | 21 Highland Avenue, Newburyport, MA 01950 | 2006-09-19 |
| 1609983758 | Richard Bruce Mack | Family Medicine | 865 Mountain Ave, Mountainside, NJ 07092 | 2006-08-24 |
| 1124381165 | Richard Thomas Mack | Pharmacist | 3111 Taylorsville Hwy, Statesville, NC 28625-2964 | 2012-06-22 |
| 1598801854 | Richard Newell Mack | Marriage & Family Therapist | 2 South St, Suite 210, Auburn, NY 13021-3833 | 2007-01-30 |
| 1700820792 | Richard J Mack | Social Worker | 50 W 23rd St, 9th Floor, New York, NY 10010-5205 | 2006-06-16 |
| 1457317588 | Richard Henry Mack | Orthopaedic Surgery | 515 Fairmount Ave, Suite 530, Baltimore, MD 21286-5466 | 2006-04-26 |
| Street Address |
16311 VENTURA BLVD SUITE 1080 |
| City | ENCINO |
| State | CA |
| Zip Code | 91436-2124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902792 | Jeffrey D Goss | Podiatrist | 16311 Ventura Blvd, Ste 630, Encino, CA 91436-4318 | 2005-06-17 |
| 1124479084 | Bryan E Chan Md Inc | Anesthesiology | 16311 Ventura Blvd, Suite #1010, Encino, CA 91436-2124 | 2016-06-22 |
| 1215392238 | John J Cho | Dentist | 16311 Ventura Blvd, Suite 527, Encino, CA 91436-2124 | 2015-12-17 |
| 1184098337 | Hope Surgery Center, Inc. | Clinic/Center | 16311 Ventura Blvd, Suite 1015, Encino, CA 91436-2124 | 2015-11-25 |
| 1699156547 | Saravanan Ram Dds Inc. | Clinic/Center | 16311 Ventura Blvd, Ste 1250, Encino, CA 91436-2124 | 2015-06-17 |
| 1073900817 | Daniel J. Cosgrove, M.d. Inc. | Urology | 16311 Ventura Blvd, Ste. 800, Encino, CA 91436-2124 | 2015-04-20 |
| 1124425855 | Hearing and Balance Center Inc | Audiologist | 16311 Ventura Blvd, Suite 841, Encino, CA 91436-2124 | 2014-11-24 |
| 1649683012 | Unity E Medical Clinic, Inc. | Specialist | 16311 Ventura Blvd, Suite 1210, Encino, CA 91436-2124 | 2014-06-03 |
| 1619394830 | Stanley J. Leiken, Md Inc. | Clinic/Center | 16311 Ventura Blvd, 1050, Encino, CA 91436-2124 | 2014-03-26 |
| 1801223391 | Dr. Julian Zhitnitsky's Dental Care, Inc. | Dentist | 16311 Ventura Blvd, Suite 907, Encino, CA 91436-2124 | 2013-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405014 | Find Your Balance, Center for Growth & Change Inc. | Marriage & Family Therapist | 15720 Ventura Blvd Suite 603, Encino, CA 91436 | 2020-07-24 |
| 1396214482 | Maria Guadalupe Cruz | Behavior Technician | 16500 Ventura Blvd # 414, Encino, CA 91436 | 2018-11-19 |
| 1699277186 | Rodolfo Alavez Jimenez | Behavior Technician | 16500 Ventura Blvd., Suite 414, Encino, CA 91436 | 2018-03-01 |
| 1750891503 | Robert James Kim-farley | Preventive Medicine | 4037 Rogen Drive, Encino, CA 91436 | 2017-10-06 |
| 1528577871 | Julia Szpakiewicz | Marriage & Family Therapist | 16550 Ventura Blvd 318, Encino, CA 91436 | 2017-09-28 |
| 1457875452 | Jeffrey Proniloff | Dentist | 16680 Ashley Oaks, Encino, CA 91436 | 2017-08-01 |
| 1114449592 | Loren Lizeth Huerta | Specialist/Technologist | 16500 Ventura Blvd #414, Encino, CA 91436 | 2017-07-07 |
| 1538619838 | Gilbert Torres Jr. | Physical Therapist | 16260 Ventura Blvd # 600, Encino Medical Tower, Encino, CA 91436 | 2016-10-11 |
| 1417313529 | Nancy L Reynolds | Marriage & Family Therapist | 16055 Ventura Blvd #409, Encino, CA 91436 | 2016-01-05 |
| 1457716748 | Salvador Salgado | Behavioral Analyst | 16500 Ventura Blvd. Suite 414, Encino, CA 91436 | 2015-12-31 |
| Find all providers in zip 91436 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780740993 | Genevieve A Macdonald | Surgery | 16200 Ventura Blvd, Suite 309, Encino, CA 91436-2205 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382523 | Beverly Hills Outpatient Surgery Center Inc | Surgery | 50 N La Cienega Blvd Ste 203, Beverly Hills, CA 90211-2246 | 2020-09-24 |
| 1558907857 | California Surgical and Anesthesia Services, Inc | Surgery | 3500 S Bristol St Ste 203, Santa Ana, CA 92704-7306 | 2019-11-21 |
| 1710533864 | Elite Transformations, A Professional Medical Corporation | Surgery | 1795 El Camino Real Ste 200, Palo Alto, CA 94306-1165 | 2019-08-14 |
| 1326503632 | Andre P. Marshall, Md Inc | Surgery | 32456 Crown Valley Pkwy Apt 105, Dana Point, CA 92629-3312 | 2019-01-31 |
| 1598245474 | Jenny Marie Hullinger | Surgery | 711 4th Ave Ste 200, San Diego, CA 92101-6863 | 2018-08-20 |
| 1497249817 | Alexander Villicana Md LLC | Surgery | 624 W Duarte Rd Ste 201, Arcadia, CA 91007-9261 | 2018-06-19 |
| 1316431273 | Justin E. West, Md Inc. | Surgery | 230 S Main St Ste 210, Orange, CA 92868-3851 | 2018-06-14 |
| 1811430234 | Marc Hamilton Hedrick | Surgery | 3020 Callan Rd, San Diego, CA 92121-1109 | 2016-12-02 |
| 1285082859 | Daniel Suissa | Surgery | 9201 W Sunset Blvd Ste 708, West Hollywood, CA 90069-3708 | 2016-05-24 |
| 1780030478 | Eric Yu Kit Li | Surgery | 10430 S De Anza Blvd Ste 170, Cupertino, CA 95014-3000 | 2016-05-11 |
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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.