GUEY C MARK M D INC (NPI# 1295982734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295982734 |
| Entity Type | Organization |
| Organization Name | GUEY C MARK M D INC |
| Practice Address |
1072 W. Monterey Avenue Stockton CA 95204-3031 |
| Practice Telephone | 2094632180 |
| Mailing Telephone | 2094632180 |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2008-08-27 |
| Authorized Official Name | DR. GUEY C MARK (PRESIDENT OF GUEY C MARK M D INC) |
| Authorized Official Telephone | 2094632180 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | C191890 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00C191890 | 05 |
| Street Address |
1072 W. MONTEREY AVENUE |
| City | STOCKTON |
| State | CA |
| Zip Code | 95204-3031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
| 1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
| 1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
| 1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
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| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154696714 | Henry Bahgat Selim | General Practice | 3279 Lakeshore Court, Stockton, CA 95219-5491 | 2012-03-15 |
| 1306015458 | John Edward Newman IIi | General Practice | 1819 Maude St, Stockton, CA 95206-5709 | 2008-02-22 |
| 1912001363 | Ngac Tien Tran | General Practice | 1545 Saint Marks Plz, Suite 1c, Stockton, CA 95207-6411 | 2006-09-07 |
| 1639187552 | Harbhajan Singh Shergill | General Practice | 5345 N El Dorado, #3, Stockton, CA 95207-5848 | 2006-08-04 |
| 1396720355 | Maynard F. Lang | General Practice | 782 East Harding Way, Stockton, CA 95205-6101 | 2005-12-13 |
| 1932383924 | Toanhungtran Md Inc | General Practice | 4545 Georgetown Pl, C 16, Stockton, CA 95207-6215 | 2007-12-26 |
| 1902955859 | Bradley Donald Tourtlotte | General Practice | 3663 Arch Rd, Suite 400, Stockton, CA 95215-8315 | 2007-01-09 |
| 1164500773 | Toan Hung Tran | General Practice | 4545 Georgetown Pl, C16, Stockton, CA 95207-6215 | 2006-11-01 |
| 1932214517 | Dumrong Jirasut | General Practice | 75 W March Lane, Suite H, Stockton, CA 95207-5729 | 2006-08-21 |
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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.