MARK STANTON MCDONNELL MD
NPI 1194906693
Student in an Organized Health Care Education/Training Program in Sylmar, CA

Active since November 27, 2007PECOS EnrolledAccepts Medicare Assignment
14445 OLIVE VIEW DR, SYLMAR, CA 91342(818) 364-3205 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mark Stanton Mcdonnell Md NPPES

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

MARK STANTON MCDONNELL MD (NPI 1194906693) is an individual student in an organized health care education/training program in Sylmar, California and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (2006).

NPPES Registry Identity

NPI1194906693
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMARK STANTON MCDONNELLCredential: MD
Location Address14445 OLIVE VIEW DRSylmar, CA 91342-1437
Mailing Address5510 Owensmouth Ave Apt 103Woodland Hills, CA 91367-7011 · (818) 716-1196
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2006
Enumeration DateNovember 27, 2007
Last NPPES UpdateDecember 1, 2021
NPI 1194906693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

14445 OLIVE VIEW DR, Sylmar, CA 91342

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mark Stanton Mcdonnell Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406036789
PECOS Enrollment IDI20110203000162
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.

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.

Psychiatry & Neurology (Psychiatry)
14445 OLIVE VIEW DR, ROOM 6D129
SYLMAR, CA 91342
Specialist
14445 OLIVE VIEW DR, ROOM 2B-182
SYLMAR, CA 91342
General Acute Care Hospital
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Internal Medicine (Gastroenterology)
14445 OLIVE VIEW DR, DEPT MEDICINE OLIVE VIEW UCLA MEDICAL CENTER
SYLMAR, CA 91342
Internal Medicine (Cardiovascular Disease)
14445 OLIVE VIEW DR, RM 2C 121 OLIVE VIEW UCLA MEDICAL CENTER
SYLMAR, CA 91342
Internal Medicine
14445 OLIVE VIEW DR, OLIVE VIEW UCLA MED CTR
SYLMAR, CA 91342
Anesthesiology
14445 OLIVE VIEW DR, DEPT OF ANESTHESIOLOGY RM#3A115
SYLMAR, CA 91342
Nurse Practitioner
14445 OLIVE VIEW DR, DEPARTMENT EMERGENCY MEDICINE
SYLMAR, LA 91342

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194906693, enumerated as an "individual" on November 27, 2007.

The provider is located at 14445 OLIVE VIEW DR SYLMAR, CA 91342 and the phone number is (818) 364-3205.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.