DR. MARK DIEHL (NPI# 1588772081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588772081 |
| Entity Type | Individual |
| Full Name | DR. MARK DIEHL |
| Credential | DMD |
| Practice Address |
3801 Miranda Ave (160) Palo Alto CA 94304-1207 |
| Practice Telephone | 6504935000 |
| Practice Fax Number | 6508490537 |
| Mailing Telephone | 6504935000 |
| Mailing Fax Number | 6508490537 |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
27878 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204939 | Mark Anthony Diehl | Physical Medicine & Rehabilitation | 1553 State Highway 27, Suite 3100, Somerset, NJ 08873 | 2020-10-29 |
| 1982667754 | Mark P Diehl | Internal Medicine | 40 V-twin Dr, Suite 205, Gettysburg, PA 17325-7878 | 2006-04-11 |
| 1447472121 | Mark Anthony Diehl | Dentist | 12727 Kimberley Ln, Suite 201, Houston, TX 77024-4047 | 2007-05-03 |
| 1467410357 | Mark A Diehl | Family Medicine | 4221 S Western Ave, Suite 3030, Oklahoma City, OK 73109-3447 | 2006-05-02 |
| 1659374718 | Mark W Diehl | Orthopaedic Surgery | 300 Tower Rd Ne, Ste 200, Marietta, GA 30060-9403 | 2005-05-23 |
| Street Address |
3801 MIRANDA AVE (160) |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405449 | John Paul Lavelle | Urology | 3801 Miranda Ave, B3-117 Bldg 100 Urology (#112), Palo Alto, CA 94304-1207 | 2005-05-27 |
| 1437750619 | Ashley Ando | Respiratory Therapist, Registered | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-11-04 |
| 1265032783 | Jim Le | Occupational Therapist | 3801 Miranda Ave, Palo Alto, CA 94304-1290 | 2020-10-26 |
| 1497354484 | Laura Renee Zimmerman | Registered Nurse | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-10-21 |
| 1891300810 | Clark Dan Ma | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-09-15 |
| 1124630900 | Palo Alto Perfusion Service | Perfusionist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-21 |
| 1790397362 | Gihun Kim | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-17 |
| 1750993309 | Jessica Tran | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-17 |
| 1083226500 | Danielle Jean Fox | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1290 | 2020-08-17 |
| 1346851078 | Alice Lin | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700371127 | Jamie Marie Paychev | Dentist | 1691 El Camino Real Ste 300, Palo Alto, CA 94306-1054 | 2018-06-27 |
| 1265957179 | Samantha Mohan | Dentist | 2290 Birch St Ste C, Palo Alto, CA 94306-1559 | 2017-08-11 |
| 1386916534 | Elizabeth Anne Hagan | Dentist | 416 Waverley St, Suite A, Palo Alto, CA 94301-1718 | 2012-02-03 |
| 1710278619 | David Lee Vander Wilt | Dentist | 3515 Alma St, Palo Alto, CA 94306-3539 | 2011-04-26 |
| 1467756817 | Seong Keun Yoo | Dentist | 2290 Birch St Ste B, Palo Alto, CA 94306-1559 | 2010-12-28 |
| 1740580109 | Kathleen Ying Kiu Yau | Dentist | 778 Encina Grande Dr, Palo Alto, CA 94306-3146 | 2010-11-01 |
| 1689902363 | Eric Son Kwon | Dentist | 850 Middlefield Rd Ste 2, Palo Alto, CA 94301-2918 | 2009-11-18 |
| 1578794996 | Whitney Ann Lorenz | Dentist | 652 Homer Avenue, Palo Alto, CA 94301-2827 | 2009-08-03 |
| 1083840680 | Aarti Tayal | Dentist | 544 Forest Ave, Palo Alto, CA 94301-2611 | 2009-06-09 |
| 1184874984 | Behnaz Bakhshi | Dentist | 900 Welch Rd Ste 100, Palo Alto, CA 94304-1801 | 2008-09-29 |
| Find all providers in PALO ALTO | ||||
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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.