DR. MARK JEFFREY JO (NPI# 1689974255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689974255 |
| Entity Type | Individual |
| Full Name | DR. MARK JEFFREY JO |
| Credential | MD |
| Practice Address |
10 Congress St Suite 103 Pasadena CA 91105-3045 |
| Practice Telephone | 6267950282 |
| Practice Fax Number | 6267920682 |
| Mailing Telephone | 6267950282 |
| Mailing Fax Number | 6267920682 |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2015-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
A122314 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
10 CONGRESS ST SUITE 103 |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-3045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495483 | Kathy Nguyen Walker | Obstetrics & Gynecology | 10 Congress St, Ste 202, Pasadena, CA 91105-3027 | 2005-05-27 |
| 1982114625 | Malinda Miller | Nurse Practitioner | 10 Congress St, Pasadena, CA 91105-3045 | 2017-10-09 |
| 1821449190 | Huntington Perinatal Group Inc | Obstetrics & Gynecology | 10 Congress St, Suite 511, Pasadena, CA 91105-3045 | 2016-06-28 |
| 1659749182 | Transam Hua | Physical Therapist | 10 Congress St, Suite 103, Pasadena, CA 91105-3027 | 2015-09-15 |
| 1356718530 | Huntington Orthopedics Surgical Medical Group | Clinic/Center | 10 Congress St, Suite 103, Pasadena, CA 91105-3027 | 2015-08-24 |
| 1437543501 | Wufaa Alrashid M.d., Inc | Internal Medicine | 10 Congress St, Suite 512, Pasadena, CA 91105-3045 | 2015-03-26 |
| 1114311560 | Lisa Marie Nakatani | Nurse Practitioner | 10 Congress St, Suite 405, Pasadena, CA 91105-3045 | 2015-03-24 |
| 1093121410 | Advanced Trauma Associates LLC | Surgery | 10 Congress St, Suite103, Pasadena, CA 91105-3045 | 2014-07-07 |
| 1912318676 | Vanessa Cabe | Internal Medicine | 10 Congress St, Suite 208, Pasadena, CA 91105-3045 | 2014-05-15 |
| 1245669068 | California Fertility Centers, A Medical Corporation | Clinic/Center | 10 Congress St, Suite 200, Pasadena, CA 91105-3045 | 2013-11-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
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| Taxonomy Code | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835131 | Jacob Matz | Orthopaedic Surgery | Orthopaedic Trauma Institute, 2550 23rd St Building 9, 2nd Floor, San Francisco, CA 94110 | 2019-08-03 |
| 1609219658 | Matthew John Herring | Orthopaedic Surgery | Ucsf Orthopaedic Trauma Institute, 2550 23rd St., Bldg. 9, 2nd Floor, San Francisco, CA 94110 | 2013-04-09 |
| 1609038256 | Vahdatyar Amirpour M.d. Inc | Orthopaedic Surgery | 2501 H St, Bakersfield, CA 93301-2817 | 2008-06-25 |
| 1639336076 | Christian Seaholm Bromfield | Orthopaedic Surgery | 6600 Bruceville Rd Ste 111, Sacramento, CA 95823-4671 | 2008-05-22 |
| 1629255237 | David C Chang | Orthopaedic Surgery | 307 Placentia Ave., Suite # 111, Newport Beach, CA 92663 | 2008-01-25 |
| 1881881431 | Christopher Max Hoshino | Orthopaedic Surgery | 1000 W Carson St # 422, Torrance, CA 90502-2004 | 2007-09-27 |
| 1487840583 | John H. Serocki, Md, Apc | Orthopaedic Surgery | 9834 Genesee Ave #228, La Jolla, CA 92037 | 2007-09-21 |
| 1144300385 | Gary Jack Phipps | Orthopaedic Surgery | 26720 Crown Valley Parkway, Suite 200, Mission Viejo, CA 92691 | 2006-10-16 |
| 1013024926 | Aaron G. Osborne, D.o., Inc. | Orthopaedic Surgery | 2480 Sonoma St, Redding, CA 96001-3027 | 2006-08-24 |
| 1689689176 | Lorra Marie Sharp | Orthopaedic Surgery | 1955 Citracado Pkwy Ste 200, Escondido, CA 92029-4112 | 2006-07-31 |
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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.