DR. MARK DOTY II (NPI# 1790115053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790115053 |
| Entity Type | Individual |
| Full Name | DR. MARK DOTY II |
| Credential | D.V.M. |
| Practice Address |
2110 Valleywood Dr San Bruno CA 94066-1948 |
| Practice Telephone | 4156869457 |
| Mailing Telephone | 4156869457 |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174M00000X | Veterinarian | 19693 | CA | Other Service Providers |
| Street Address |
2110 VALLEYWOOD DR |
| City | SAN BRUNO |
| State | CA |
| Zip Code | 94066-1948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497392468 | Harold Relosimon | Behavior Technician | 901 Sneath Lane, Suite 105, San Bruno, Ca 94066, San Bruno, CA 94066 | 2019-12-09 |
| 1093365926 | Liana Greene | Behavior Technician | 1001 Sneath Lane #200, San Bruno, CA 94066 | 2019-09-12 |
| 1568018406 | Susan Page Gadegone | Community Health Worker | 931 San Bruno West Avenue Suite 2, San Bruno, CA 94066 | 2019-08-15 |
| 1184198780 | Sonya Oey Kramer | Pharmacist | 10 Bayhill Drive, San Bruno, CA 94066 | 2019-01-16 |
| 1316410350 | Brennen Marques Mcdowell | Behavioral Analyst | 101 Sneath Lane Ste. 200, 200, San Bruno, CA 94066 | 2019-01-02 |
| 1306317649 | Jacqueline R Lalucis | Behavior Technician | 751 Camino Plaza, San Bruno, Ca 94066, A, San Bruno, CA 94066 | 2018-12-16 |
| 1992275952 | Kenny Malunay | Behavior Technician | 75a El Camino Plaza, San Bruno, CA 94066 | 2018-12-03 |
| 1396236584 | Mariela Pena Yerena | Behavior Technician | 751 El Camino Plaza, Suite A, San Bruno, CA 94066 | 2018-05-23 |
| 1568845816 | Paula Leeanne Park | Physical Therapist | 106 Quail Point Cir, San Bruno, CA 94066 | 2015-07-06 |
| 1275921231 | C & C's Care Home | Assisted Living Facility | 2700 Oakmont Dr., San Bruno, CA 94066 | 2014-12-29 |
| Find all providers in zip 94066 | ||||
| Taxonomy Code | 174M00000X |
| Grouping | Other Service Providers |
| Classification | Veterinarian |
| A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |
| Notes: Source: Dorland’s Illustrated Medical Dictionary. 28th edition. Philadelphia: W.B. Saunders Company, 1994, p. 1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922230887 | Donald Brian Conkling | Veterinarian | 805 Masson Ave, San Bruno, CA 94066-3133 | 2009-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417314931 | Marilyn Ly-luke | Veterinarian | 1152 Blossom Hill Rd, Vip Petcare, San Jose, CA 95118-3127 | 2016-01-28 |
| 1356718498 | Laura O'keefe | Veterinarian | 4791 Edgartown Dr, Huntington Beach, CA 92649-6436 | 2015-08-24 |
| 1538535919 | Emily Holmes | Veterinarian | 1936 Del Paso Rd, Sacramento, CA 95834-1166 | 2015-08-19 |
| 1194108878 | Emily C Isaacs | Veterinarian | 1621 E Monte Vista Ave, Suite B, Vacaville, CA 95688-3106 | 2015-06-30 |
| 1164802963 | Tanushri Thakran | Veterinarian | 29 Howarth Ct, Santa Rosa, CA 95405-5240 | 2015-06-05 |
| 1487031654 | Caroline Bagshaw | Veterinarian | 6455 Santa Monica Blvd, Los Angeles, CA 90038-2910 | 2015-04-27 |
| 1831576099 | Rebecca Swimmer | Veterinarian | 11301 W Olympic Blvd # 304, Los Angeles, CA 90064-1653 | 2015-04-27 |
| 1154714327 | Shashamane Ethiopia Federal Agents Association (the) | Veterinarian | 2157 W 31st St # 2161, Los Angeles, CA 90018-3424 | 2015-03-12 |
| 1114316155 | Melissa Dolan | Veterinarian | 49620 Beluga Rd, Marine Mammal Clinic, San Diego, CA 92152-6506 | 2015-01-14 |
| 1285030288 | Christian Sharp | Veterinarian | 7328 Radford Ave, North Hollywood, CA 91605-3714 | 2014-11-18 |
| Find all providers with the same taxonomy | ||||
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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.