MARK A. FRIEDMAN, M.D., INC.
NPI 1114276664
Specialist in Sebastopol, CA

Active since August 30, 2012
6260 VINE HILL RD, SEBASTOPOL, CA 95472(253) 514-2472 Get Directions Write a Review

NPPES record last updated: March 17, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Specialist

About MARK A. FRIEDMAN, M.D., INC.

This page provides the complete NPI Profile along with additional information for Mark A. Friedman, M.d., Inc., a provider established in Sebastopol, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1114276664 assigned on August 2012. The practitioner's primary taxonomy code is 174400000X with license number C55315 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Mark Alan Friedman M.d. (Ceo/physician)

NPI
1114276664 Verify this NPI
Provider Name
MARK A. FRIEDMAN, M.D., INC.
Entity Type
Organization
Location Address
6260 VINE HILL RD SEBASTOPOL, CA 95472
Location Phone
(253) 514-2472
Mailing Address
6260 VINE HILL RD SEBASTOPOL, CA 95472
Mailing Phone
(253) 514-2472
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-30-2012
Last Update Date
03-17-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
C55315
License State
CA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MARK ALAN FRIEDMAN M.D.

Authorized Official Title
CEO/PHYSICIAN
Authorized Official Phone
(253) 514-2472

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G8860251MEDICARE PIN (08)WA 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114276664, enumerated as an "organization" on August 30, 2012.

The provider is located at 6260 VINE HILL RD SEBASTOPOL, CA 95472 and the phone number is (253) 514-2472.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.