MARK J. PROVDA MD
NPI 1194803254
Emergency Medicine in Walnut Creek, CA

Active since November 02, 2006
1425 S MAIN ST, WALNUT CREEK, CA 94596(925) 295-4000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark J. Provda Md NPPES

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

MARK J. PROVDA MD (NPI 1194803254) is an individual emergency medicine provider in Walnut Creek, California, licensed in California (C37075) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1194803254
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMARK J. PROVDACredential: MD
Location Address1425 S MAIN STWalnut Creek, CA 94596-5318
Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3429 · (510) 625-6262
Sole ProprietorNo
Enumeration DateNovember 2, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1194803254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in CA · C37075
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1425 S MAIN ST, Walnut Creek, CA 94596

Other Identifiers 3

Medicare ID-Type Unspecified00C370750
Medicare UPINF14897
Medicaid00C370750CA

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
1425 S MAIN ST, EMERGENCY MEDICINE DEPARTMENT
WALNUT CREEK, CA 94596
Hospitalist
1425 S MAIN ST, KAISER PERMANENTE WALNUT CREEK ATTN: HBS DEPT
WALNUT CREEK, CA 94596
Obstetrics & Gynecology
1425 S MAIN ST
WALNUT CREEK, CA 94596
General Acute Care Hospital
1425 S MAIN ST
WALNUT CREEK, CA 94596
Nurse Anesthetist, Certified Registered
1425 S MAIN ST
WALNUT CREEK, CA 94596
Surgery (Vascular Surgery)
1425 S MAIN ST
WALNUT CREEK, CA 94596
Social Worker (Clinical)
1425 S MAIN ST
WALNUT CREEK, CA 94596
Psychiatry & Neurology (Neurology)
1425 S MAIN ST
WALNUT CREEK, CA 94596

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 Mark Provda's NPI number?

The NPI number for Mark Provda is 1194803254. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Mark Provda located?

Mark Provda practices at 1425 S Main St, Walnut Creek, CA 94596. The listed phone number is (925) 295-4000.

What is Mark Provda's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Mark Provda was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.