MR. MARK DZIETKO


Address: 533 Parnassus Ave, U503, San Francisco, CA 94143
Phone: 4154761888

MR. MARK DZIETKO (NPI# 1144558537) 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) 1144558537
Entity Type Individual
Full Name MR. MARK DZIETKO
Credential MD
Practice Address 533 Parnassus Ave
U503
San Francisco
CA 94143
Mailing Address 1250 20th Ave
Unit 1
San Francisco
CA 94122-1732
Practice Telephone 4154761888
Enumeration Date 2009-11-24
Last Update Date 2009-11-24
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
2080N0001X CA Allopathic & Osteopathic Physicians

Office Location

Street Address 533 PARNASSUS AVE
U503
City SAN FRANCISCO
State CA
Zip Code 94143

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619966389 Regina Marie Davis Genetic Counselor, MS 533 Parnassus Ave, Box 0720, San Francisco, CA 94143-2208 2005-10-17
1639790009 Mercedes Posadas Rivas Student in an Organized Health Care Education/Training Program 533 Parnassus Ave, San Francisco, CA 94143-2208 2020-04-27
1508494238 Johanna Stevens Glaser Student in an Organized Health Care Education/Training Program 533 Parnassus Ave, San Francisco, CA 94143-2208 2020-03-29
1700414745 Spenser Stephen Souza Student in an Organized Health Care Education/Training Program 533 Parnassus Ave, San Francisco, CA 94143-2208 2020-03-27
1396377834 Magaly Ketron Student in an Organized Health Care Education/Training Program 533 Parnassus Ave, San Francisco, CA 94143-2208 2020-02-11
1366969586 Crystal Zhou Pharmacist 533 Parnassus Ave, San Francisco, CA 94143-2208 2017-08-28
1336501030 Alex Dinh Internal Medicine 533 Parnassus Ave, San Francisco, CA 94143-0532 2016-03-22
1104296243 Jason Alexander Phillips Pharmacist 533 Parnassus Ave, Room U585, San Francisco, CA 94143-2208 2015-10-01
1821474420 Stephanie Lynn Hsia Pharmacist 533 Parnassus Ave, San Francisco, CA 94143 2015-08-05
1689051898 Shayan Salim Dentist 533 Parnassus Ave, San Francisco, CA 94143-2208 2015-04-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750909024 Ana Chow Social Worker Ucsf - Benioff Children's Hospital, 1975 4th St, San Francisco, CA 94143 2020-07-13
1801413828 Caroline Eilbeck Casey Social Worker 1975 4th Street, San Francisco, CA 94143 2020-06-26
1124642251 Grace Kibuule Student in an Organized Health Care Education/Training Program 513 Parnassus Ave., S455, San Francisco, CA 94143 2020-06-04
1003436528 Christian Karl Antonio Nurse Practitioner 505 Parnassus Avennue, San Francisco, CA 94143 2020-04-24
1144859752 Reginald Nguyen Student in an Organized Health Care Education/Training Program 505 Parnassus Avenue, Room M24, San Francisco, CA 94143 2020-04-06
1851929830 Jonathan Earl Freise Student in an Organized Health Care Education/Training Program Ucsf Department of Surgery, 513 Parnassus Ave, S321, San Francisco, CA 94143 2020-03-27
1275160046 Sang Minh Nguyen Student in an Organized Health Care Education/Training Program 550-16th Street, Mission Hall, 4th Floor, San Francisco, CA 94143 2020-03-23
1780239954 Rishabh Pravin Acharya Dentist 707 Parnassus Avenue, D-4000, San Francisco, CA 94143 2019-08-05
1306307442 Kayla Zamora Student in an Organized Health Care Education/Training Program 550-16th Street, Mission Hall 4th Floor, San Francisco, CA 94143 2019-03-30
1730649021 Elizabeth Larken Burch Student in an Organized Health Care Education/Training Program Univerisity of California San Francisco 550 16th Street, Mission Hall 4th Floor, San Francisco, CA 94143 2019-03-22
Find all providers in zip 94143

Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174854525 Ann Capela Zovein Pediatrics 505 Parnassus Ave Fl 15, Intensive Care Nursery, San Francisco, CA 94143-0210 2010-01-25
1104018720 Timothy Andrew Sanders Pediatrics 533 Parnassus Ave Rm U503, Box 0734, San Francisco, CA 94143-2208 2007-08-16
1215086996 Jodi Angela Davi Pediatrics 88 Seal Rock Dr, San Francisco, CA 94121-1437 2007-01-10
1336226273 Yao Sun Pediatrics Ucsf Medical Center Childrens Hospital, 505 Parnassus Ave, Box 110, San Francisco, CA 94143-0110 2006-10-31
1518079953 Louis David Pollack Pediatrics 1975 4th St Fl 3, San Francisco, CA 94143-2351 2006-08-31
1912980913 Jane Lee Pediatrics 3700 California St, San Francisco, CA 94118-1618 2005-11-22
1447573498 Melissa C Liebowitz Pediatrics 505 Parnassus Ave, Box 0110, San Francisco, CA 94143-2204 2010-03-04
1841338159 Chris R White Pediatrics 3850 California St, San Francisco, CA 94118-1502 2007-02-01
1811047681 Christopher Todd Retajczyk Pediatrics 3850 California St, San Francisco, CA 94118-1502 2007-01-11
1407924335 Ghizala R Kaleem Pediatrics 3850 California St, San Francisco, CA 94118-1502 2006-11-30
Find all providers in SAN FRANCISCO

Competitor

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City SAN FRANCISCO
Zip Code 94143

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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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