MARK T KAN, INC (NPI# 1538455860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538455860 |
| Entity Type | Organization |
| Organization Name | MARK T KAN, INC |
| Other Organization Name | NEWPORT FERTILITY CENTER |
| Practice Address |
20072 Sw Birch St Suite 230 Newport Beach CA 92660-0794 |
| Practice Telephone | 9492221290 |
| Practice Fax Number | 9492221289 |
| Mailing Telephone | 9492221290 |
| Mailing Fax Number | 9492221289 |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2011-06-24 |
| Authorized Official Name | DR. MARK T KAN (PRESIDENT) |
| Authorized Official Telephone | 9492221290 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
A82378 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| NEWPORT FERTILITY CENTER | Doing Business As Name - Organization |
| Street Address |
20072 SW BIRCH ST SUITE 230 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-0794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043258502 | Valerie Valentine Acevedo | Psychiatry & Neurology | 20072 Sw Birch St, Suite 170, Newport Beach, CA 92660-0794 | 2006-06-04 |
| 1760922413 | Bettina Limjoco Mdpc | Clinic/Center | 20072 Sw Birch St, Suite 170, Newport Beach, CA 92660-0794 | 2017-02-28 |
| 1396108130 | Gina Nick Cushman | Internal Medicine | 20072 Sw Birch St, 240, Newport Beach, CA 92660-0794 | 2016-03-30 |
| 1699137737 | Health Bridge Newport | Psychoanalyst | 20072 Sw Birch St, Suite 240, Newport Beach, CA 92660-0794 | 2016-03-28 |
| 1417346412 | Shahem Kawji, Md, Inc | Ophthalmology | 20072 Sw Birch St, Suite 260, Newport Beach, CA 92660-0794 | 2015-01-13 |
| 1518237882 | Mdm Medical Mgmt. | Case Manager/Care Coordinator | 20072 Sw Birch St, Suite 200-b, Newport Beach, CA 92660-0794 | 2012-01-04 |
| 1861796195 | Maher M Saleeb, M.d., Inc | Clinic/Center | 20072 Sw Birch St, Ste # 240, Newport Beach, CA 92660-0794 | 2010-12-30 |
| 1043520885 | Optimum Medical Clinics, Inc | Non-Pharmacy Dispensing Site | 20072 Sw Birch St, Suite 100, Newport Beach, CA 92660-0794 | 2010-10-14 |
| 1053626630 | Raafat W. Girgis, M.d., Inc. | Psychiatry & Neurology | 20072 Sw Birch St, Suite # 240, Newport Beach, CA 92660-0794 | 2010-08-08 |
| 1134365208 | Alex Acevedo Jr. | Chiropractor | 20072 Sw Birch St, Suite 170, Newport Beach, CA 92660-0794 | 2008-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396363552 | Global Premier Fertility - Orange County PC Dba Rise Fertility | Obstetrics & Gynecology | 3333 W Coast Hwy Ste 300, Newport Beach, CA 92663-4058 | 2020-07-13 |
| 1306089057 | Lisa Carey Grossman Becht | Obstetrics & Gynecology | 500 Superior Ave Ste 210, Newport Beach, CA 92663-3662 | 2009-04-10 |
| 1811407489 | Sharon E. Moayeri, M.d., A Medical Corporation | Obstetrics & Gynecology | 1401 Avocado Ave Ste 403, Newport Beach, CA 92660-8725 | 2017-10-09 |
| 1891089785 | Lauren W Sundheimer | Obstetrics & Gynecology | 3501 Jamboree Rd Ste 1100, Newport Beach, CA 92660-2956 | 2011-06-08 |
| 1104072198 | Robert E. Anderson, M.d. | Obstetrics & Gynecology | 361 Hospital Rd, Suite 333, Newport Beach, CA 92663-3522 | 2008-08-11 |
| 1912161233 | Sanaz Ghazal | Obstetrics & Gynecology | 1401 Avocado Ave Ste 403, Newport Beach, CA 92660-8725 | 2008-07-16 |
| 1598807455 | Sharon E. Moayeri | Obstetrics & Gynecology | 1401 Avocado Ave, Suite 403, Newport Beach, CA 92660-7720 | 2007-02-13 |
| 1023126562 | Robert Evan Anderson | Obstetrics & Gynecology | 361 Hospital Rd, Suite 333, Newport Beach, CA 92663-3522 | 2006-08-25 |
| 1750360665 | Beth Anne Ary | Obstetrics & Gynecology | 1441 Avocado Ave, #203, Newport Beach, CA 92660-7721 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326665621 | Reproductive Medicine Associates of San Diego | Obstetrics & Gynecology | 4510 Executive Dr Ste 150, San Diego, CA 92121-2155 | 2020-07-02 |
| 1861958985 | Lin Fertility Ivf Network, Inc. | Obstetrics & Gynecology | 400 E Rincon St Ste 108, Corona, CA 92879-1389 | 2019-02-13 |
| 1235646985 | Los Angeles Reproductive Center | Obstetrics & Gynecology | 16055 Ventura Blvd Ste 1127, Encino, CA 91436-2612 | 2018-01-03 |
| 1033575956 | Lane Fertility Institute | Obstetrics & Gynecology | 101 Rowland Way Ste 305, Novato, CA 94945-5056 | 2016-01-07 |
| 1992065692 | Tracy Nicole Hadnott Harrison | Obstetrics & Gynecology | 9500 Gilman Drive #0633, La Jolla, CA 92093-0633 | 2012-05-29 |
| 1043584956 | Harvey S Richmond A Prof Corp | Obstetrics & Gynecology | 8631 W. Third St, #240e, Los Angeles, CA 90048 | 2012-02-24 |
| 1992088926 | Scott J Morin | Obstetrics & Gynecology | 150 Spear St Ste 500, San Francisco, CA 94105-1537 | 2011-09-26 |
| 1477846095 | Tannaz Toloubeydokhti | Obstetrics & Gynecology | 9500 Gilman Dr Dept 633, La Jolla, CA 92093-0633 | 2011-05-16 |
| 1770883050 | Homayoun Sadeghi, Md Inc | Obstetrics & Gynecology | 312 S. Beverly Drive #3861, Beverly Hills, CA 90212-0861 | 2010-11-02 |
| 1720399769 | Fangyin Meng | Obstetrics & Gynecology | 21545 Hawthorne Blvd, Pavilion B, Torrance, CA 90503 | 2010-06-24 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
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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.