MARK COLE (NPI# 1770761868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770761868 |
| Entity Type | Individual |
| Full Name | MARK COLE |
| Credential | PA |
| Practice Address |
4628 San Fernando Rd Glendale CA 91204-1822 |
| Practice Telephone | 8182408843 |
| Mailing Telephone | 8182408843 |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA14784 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285876276 | Mark Julian Cole | Counselor | 17 Burma Rd, Ball, LA 71405-9422 | 2009-04-06 |
| 1790783827 | Mark C Cole | Physical Therapist | 1316 Hwy 16 S, Fredericksburg, TX 78624-5058 | 2005-07-12 |
| 1407393218 | Mark Cole | Behavioral Analyst | 620 E Plumb Ln, Reno, NV 89502-3536 | 2017-01-31 |
| 1073962585 | Mark Cole | Case Manager/Care Coordinator | 42 County Center Dr, Oroville, CA 95965-3335 | 2016-06-06 |
| 1336404227 | Mark Cole | Case Manager/Care Coordinator | 110 E Mescalero Rd, Roswell, NM 88201-6542 | 2012-07-07 |
| 1205109220 | Mark D Cole | Nurse Anesthetist, Certified Registered | 2411 Fountain View Dr, Ste. 200, Houston, TX 77057-4817 | 2012-02-22 |
| 1841462264 | Mark Cole | Counselor | 11900 Avalon Blvd, Suite 200, Los Angeles, CA 90061-2866 | 2008-03-25 |
| 1174650121 | Mark L Cole | Internal Medicine | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2007-02-27 |
| 1366435414 | Mark E Cole Iv | Specialist/Technologist | 625 E Saint Paul Ave, Milwaukee, WI 53202-5907 | 2005-08-24 |
| Street Address |
4628 SAN FERNANDO RD |
| City | GLENDALE |
| State | CA |
| Zip Code | 91204-1822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376758227 | Armen Mendilian | Counselor | 4628 San Fernando Rd, Glendale, CA 91204-1822 | 2007-05-14 |
| 1871997718 | Hope Diagnostic Laboratory LLC | Clinical Medical Laboratory | 4628 San Fernando Rd, Glendale, CA 91204-1822 | 2014-10-21 |
| 1184801698 | Ysidro Nieto | Counselor | 4628 San Fernando Rd, Glendale, CA 91204-1822 | 2008-01-28 |
| 1205045119 | Leo Vorapon Sagnanert | Counselor | 4628 San Fernando Rd, Glendale, CA 91204 | 2007-05-21 |
| 1891900734 | Shirley Jackson-poordawood | Counselor | 4628 San Fernando Rd, Glendale, CA 91204-1822 | 2007-05-14 |
| 1013122969 | Jenick Nazari | Counselor | 4628 San Fernando Rd, Glendale, CA 91204-1822 | 2007-05-14 |
| 1346455201 | Earnest Winston | Counselor | 4628 San Fernando Rd, Glendale, CA 91204-1822 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558997387 | Hope & Trust Trading LLC | Radiology | 318 W Colorado St #2, Glendale, CA 91204 | 2020-03-12 |
| 1972133387 | Yusuf Toliver | Counselor | 1027 S Central Ave, Suite 200, Glendale, CA 91204 | 2020-01-24 |
| 1538633136 | Pathology La Inc. | Clinical Medical Laboratory | 4634 San Fernando Rd., Same As Above, Glendale, CA 91204 | 2019-01-16 |
| 1295254050 | Glendale Back and Pain Center | Neurological Surgery | 710 S. Central Ave, Suite 240, Glendale, CA 91204 | 2017-09-13 |
| 1285163568 | Ez Trans, Inc. | Transportation Broker | 1626 S. Central Ave., Glendale, CA 91204 | 2017-06-08 |
| 1194254474 | Jenny Chung | Pharmacist | 3943 San Fernando Road, Glendale, CA 91204 | 2017-06-08 |
| 1396111886 | Fresenius Medical Care Glendale, LLC | Clinic/Center | 623 S Central Ave, Glendale, CA 91204 | 2015-08-19 |
| 1710302450 | New Age Foot and Ankle Podiatry PC | Podiatrist | 705 Ivy Street, Glendale, CA 91204 | 2014-03-04 |
| 1124454376 | Alber K. Karamanoukian Medical Clinic, Inc. | Clinic/Center | 810 S. Central Avenue, Suite 100, Glendale, CA 91204 | 2013-09-19 |
| 1548521156 | Glendale Plastic and Reconstructive Surgery Inc. | Plastic Surgery | 1500 S. Central Ave. #126, Glendale, CA 91204 | 2012-05-31 |
| Find all providers in zip 91204 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079109 | Elizabeth Yushuva Rpac, Pllc | Physician Assistant | 23220 N 71st Dr, Glendale, AZ 85310-5872 | 2020-10-07 |
| 1033725437 | Kayla Gutierrez | Physician Assistant | 4820 W Mcrae Way, Glendale, AZ 85308-4821 | 2020-09-21 |
| 1487269015 | Olivia Julia Karczewski | Physician Assistant | 7764 76th St, Glendale, NY 11385-8239 | 2020-09-10 |
| 1508470923 | Joseph Robert Walsh | Physician Assistant | 18860 N 75th Dr, Glendale, AZ 85308-5948 | 2020-09-02 |
| 1598384463 | Josi Ann Bernal | Physician Assistant | 17505 N 79th Ave Ste 407, Glendale, AZ 85308-8732 | 2020-04-10 |
| 1497385470 | Elizabeth Sovakian | Physician Assistant | 1000 N Central Ave Ste 140, Glendale, CA 91202-3687 | 2020-01-18 |
| 1689216020 | Zeeshan Ahmad | Physician Assistant | 1101 E Broadway Ste 201, Glendale, CA 91205-1396 | 2019-10-16 |
| 1649821281 | Paige Nelson | Physician Assistant | 6908 W Escuda Dr, Glendale, AZ 85308-5516 | 2019-09-25 |
| 1821641879 | Carelinq Medical Group, Inc. | Physician Assistant | 436 W Colorado St Ste 210a, Glendale, CA 91204-3071 | 2019-07-18 |
| 1538625405 | Armen Avetisyan | Physician Assistant | 1630 Calle Vaquero Apt 207, Glendale, CA 91206-1504 | 2019-02-15 |
| Find all providers in GLENDALE | ||||
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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.