MARK FREEMAN, MD
NPI 1356426910
Family Medicine in Clearlake, CA

Active since October 25, 2006
15322 LAKESHORE DR, SUITE 101, CLEARLAKE, CA 95422(707) 995-1362(707) 995-7057 Get Directions Write a Review

NPPES record last updated: April 17, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Freeman, Md NPPES

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

MARK FREEMAN, MD (NPI 1356426910) is a healthcare organization registered as a family medicine in Clearlake, California and active in the NPI registry since October 2006. The organization lists Mark Freeman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1356426910
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMARK FREEMAN, MD
Location Address15322 LAKESHORE DR, SUITE 101Clearlake, CA 95422-9814
Mailing Address15322 Lakeshore Dr, Suite 101Clearlake, CA 95422-9814 · (707) 995-1362 · Fax (707) 995-7057
Fax(707) 995-7057
Organization SubpartNo
Authorized OfficialMark FreemanCeo · (707) 995-1362
Enumeration DateOctober 25, 2006
Last NPPES UpdateApril 17, 2009
NPI 1356426910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · G47688
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
15322 LAKESHORE DR, Clearlake, CA 95422

Other Identifiers 4

Other080150278Medicare Railroad #
Medicare UPINA50766CA
Medicaid00G476880CA
Medicare ID-Type UnspecifiedZZZ03378ZCA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

Family Medicine
15322 LAKESHORE DR, SUITE 202
CLEARLAKE, CA 95422
Obstetrics & Gynecology
15322 LAKESHORE DR
CLEARLAKE, CA 95422
Internal Medicine (Cardiovascular Disease)
15322 LAKESHORE DR, SUITE 203
CLEARLAKE, CA 95422
Family Medicine
15322 LAKESHORE DR, STE. 201
CLEARLAKE, CA 95422
Family Medicine
15322 LAKESHORE DR, SUITE 202
CLEARLAKE, CA 95422
Family Medicine
15322 LAKESHORE DR, SUITE 201
CLEARLAKE, CA 95422
Specialist
15322 LAKESHORE DR, SUITE 102
CLEARLAKE, CA 95422
Family Medicine
15322 LAKESHORE DR, SUITE 202
CLEARLAKE, CA 95422

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 Freeman, MD's NPI number?

The NPI number for Mark Freeman, MD is 1356426910. It was assigned to this organization in the NPPES registry on October 25, 2006.

Where is Mark Freeman, MD located?

Mark Freeman, MD is located at 15322 Lakeshore Dr Suite 101, Clearlake, CA 95422. The listed phone number is (707) 995-1362.

What is Mark Freeman, MD's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mark Freeman, MD was last updated on April 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.