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DR. LESLIE ALISON MARK M.D.
NPI 1073552238
Dermatology in San Diego, CA

Active since June 05, 2006PECOS Enrolled
5222 BALBOA AVE, SIXTH FLOOR, SAN DIEGO, CA 92117(858) 292-0204(858) 292-0514 Get Directions Write a Review

NPPES record last updated: May 5, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Leslie Alison Mark M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LESLIE ALISON MARK M.D. (NPI 1073552238) is an individual dermatology provider in San Diego, California, licensed in California (G36164) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073552238
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. LESLIE ALISON MARKCredential: M.D.
Location Address5222 BALBOA AVE, SIXTH FLOORSan Diego, CA 92117-6904
Mailing Address5222 Balboa Ave, Sixth FloorSan Diego, CA 92117-6904 · (858) 292-0204 · Fax (858) 292-0514
Phone(858) 292-0204
Fax(858) 292-0514
Sole ProprietorNo
Enumeration DateJune 5, 2006
Last NPPES UpdateMay 5, 2008
✔ NPI 1073552238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · G36164
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License G36164 (CA)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License G36164 (CA)
5222 BALBOA AVE, San Diego, CA 92117
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Other Identifiers 4

Medicaid00G361640CA
OtherG36164CA · Ca State License
Medicare UPINA46598CA
Medicare ID-Type UnspecifiedWG36164ACA · Medicare Id

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Leslie Alison Mark M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BARBARA ELAINE MARTIN M.D.
Dermatology
5222 BALBOA AVE, FIFTH FLOOR
SAN DIEGO, CA 92117
San Diego County (858) 292-7928
DR. KENNETH GARY GROSS M.D.
Dermatology
5222 BALBOA AVE, SIXTH FLOOR
SAN DIEGO, CA 92117
San Diego County (858) 292-5101
DR. MAHINDOKHT MARY RAISZADEH M.D.
Legal Medicine
5222 BALBOA AVE, STE 45
SAN DIEGO, CA 92117
San Diego County (858) 616-6430
ERICA DAWN STARK L.AC.
Acupuncturist
5222 BALBOA AVE, SUITE 43
SAN DIEGO, CA 92117
San Diego County (858) 568-2189
DR. WALTER HAROLD JOLLEY D.P.M.
Podiatrist (Foot & Ankle Surgery)
5222 BALBOA AVE, SUITE 52
SAN DIEGO, CA 92117
San Diego County (858) 560-0390
RTY PHARMACEUTICAL INC
Pharmacy (Specialty Pharmacy)
5222 BALBOA AVE
SAN DIEGO, CA 92117
San Diego County (858) 278-0111
DR. DALE EDWARD MARTIN M.D.
Dermatology
5222 BALBOA AVE, SIXTH FLOOR
SAN DIEGO, CA 92117
San Diego County (858) 292-5101
DR. MIKE ADAMS
Dentist
5222 BALBOA AVE, SUITE 71
SAN DIEGO, CA 92117
San Diego County (858) 279-1900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leslie Mark's NPI number?

The NPI number for Leslie Mark is 1073552238. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Leslie Mark located?

Leslie Mark practices at 5222 Balboa Ave Sixth Floor, San Diego, CA 92117. The listed phone number is (858) 292-0204.

What is Leslie Mark's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Leslie Mark enrolled in Medicare?

Yes. Leslie Mark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Leslie Mark was last updated on May 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.