MR. MARK LEWIS ILLEMAN (NPI# 1548388861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548388861 |
| Entity Type | Individual |
| Full Name | MR. MARK LEWIS ILLEMAN |
| Credential | FNP |
| Practice Address |
2300 California St Suite 306 San Francisco CA 94115-2753 |
| Practice Telephone | 4152021550 |
| Practice Fax Number | 4157768233 |
| Mailing Telephone | 4152021550 |
| Mailing Fax Number | 4157768233 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2015-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2005 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPF | 2005 | 01 |
| Street Address |
2300 CALIFORNIA ST SUITE 306 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94115-2753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255366597 | Gerald C Lee | Family Medicine | 2300 California St, Suite 206, San Francisco, CA 94115-2753 | 2006-07-12 |
| 1265046320 | Lanet Parker | Massage Therapist | 2300 California St, San Francisco, CA 94115-2753 | 2020-09-04 |
| 1861818247 | Audriana Gomez | Registered Nurse | 2300 California St, Suite 103, San Francisco, CA 94115-2753 | 2014-03-10 |
| 1215287719 | Amy Marsala | Nurse Practitioner | 2300 California St, San Francisco, CA 94115-2753 | 2012-09-12 |
| 1780986166 | Hanna Ghaleb Kreiner | Social Worker | 2300 California St, 2nd Floor, San Francisco, CA 94115-2753 | 2010-11-17 |
| 1457580730 | Juanita De Sanz | Marriage & Family Therapist | 2300 California St, #103, San Francisco, CA 94115-2753 | 2009-07-08 |
| 1952543563 | M David Thier Md A Professional Corporation | Ophthalmology | 2300 California St, 300, San Francisco, CA 94115-2753 | 2009-03-27 |
| 1760500011 | Michael Fredric Cantwell | Pediatrics | 2300 California St, Suite #103, San Francisco, CA 94115-2753 | 2007-03-26 |
| 1548304678 | California Pacific Medical Center Physicians' Foundation | General Acute Care Hospital | 2300 California St, #200, San Francisco, CA 94115-2753 | 2007-02-20 |
| 1114009230 | Akilesh Palanisamy | Family Medicine | 2300 California St, #103, San Francisco, CA 94115-2753 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593274 | Francene G Colvin | Psychologist | 1939 Divisadero, Suite 1, San Francisco, CA 94115 | 2020-06-19 |
| 1760015689 | Simon James Little | Psychiatry & Neurology | 1634 Divisadero St, Suite 250, San Francisco, CA 94115 | 2020-02-19 |
| 1881243822 | Clara Kwun | Social Worker | 1610 Scott St., San Francisco, CA 94115 | 2019-09-11 |
| 1467005207 | Tamara Aline Hostetler | Marriage & Family Therapist | 2859 Sacramento St., San Francisco, CA 94115 | 2019-07-22 |
| 1962054999 | Wendy Lynne Stern | Psychologist | 2104 Bush St., San Francisco, CA 94115 | 2019-07-10 |
| 1184188476 | Katherine Marie Carroll | Specialist/Technologist | 1731 B Buchanan Street, San Francisco, CA 94115 | 2019-01-30 |
| 1710467410 | Joanna Katherine Hendrick | Marriage & Family Therapist | 1201 Fillmore Street, San Francisco, CA 94115 | 2018-08-21 |
| 1063998771 | Leonard Cheung | Counselor | Youth Services Bureau of San Francisco, 1426 Fillmore Street Suite 216, San Francisco, CA 94115 | 2018-07-16 |
| 1942709563 | Jobelle Cunanan | Behavior Technician | 1871 Turk St, San Francisco, CA 94115 | 2018-02-09 |
| 1083128235 | Dr. Jenny Mann, Nd | Clinic/Center | 2300 Sutter St Ste 301, San Francisco, CA 94115 | 2017-11-27 |
| Find all providers in zip 94115 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801402524 | Olga Maria Fernandez | Nurse Practitioner | 2710 Cabrillo St Apt 204, San Francisco, CA 94121-3564 | 2020-09-17 |
| 1912518572 | Tony Terrel Curtis | Nurse Practitioner | 357 19th Ave, San Francisco, CA 94121-2304 | 2020-08-16 |
| 1083230353 | Haley Rose Horner | Nurse Practitioner | 14 Mint Plz Ste 110, San Francisco, CA 94103-1884 | 2020-06-22 |
| 1619593365 | Neelam Patel | Nurse Practitioner | 49 Stevenson St, San Francisco, CA 94105-2909 | 2020-06-18 |
| 1275162471 | Janette Marie Trapp | Nurse Practitioner | 1010 16th St Apt 253, San Francisco, CA 94107-3720 | 2020-04-08 |
| 1215566922 | Sarah Fihn | Nurse Practitioner | 863 Waller St Apt 9, San Francisco, CA 94117-3163 | 2020-04-04 |
| 1518597350 | Bryan Alan Garcia | Nurse Practitioner | 547 5th Ave, San Francisco, CA 94118-3928 | 2020-01-21 |
| 1154960334 | Alan K Tam | Nurse Practitioner | 950 Stockton St Ste 202, San Francisco, CA 94108-1619 | 2020-01-05 |
| 1033754858 | Stephanie D Calabrese | Nurse Practitioner | 1961 Sutter St Apt 3, San Francisco, CA 94115-3136 | 2019-11-15 |
| 1831748938 | Denisse Aurora Porter | Nurse Practitioner | 240 Shotwell St # 1323, San Francisco, CA 94110-1323 | 2019-09-11 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94115 |
Please comment or provide details below to improve the information on MR. MARK LEWIS ILLEMAN.
| 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.