MARK BOONYASAMPANT M.D.
NPI 1396037537
Pathology - Anatomic Pathology & Clinical Pathology in Fullerton, CA
About Mark Boonyasampant M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK BOONYASAMPANT M.D. (NPI 1396037537) is an individual anatomic pathology & clinical pathology provider in Fullerton, California, licensed in California (A126158) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (2011).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mark Boonyasampant M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Mark Boonyasampant reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fullerton, CA 92835
- Reassigned Medicare billing, California enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 23
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92835 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FULLERTON, CA 92835
FULLERTON, CA 92835
FULLERTON, CA 92835
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 Boonyasampant's NPI number?
The NPI number for Mark Boonyasampant is 1396037537. It was assigned to this individual provider in the NPPES registry on May 6, 2011.
Where is Mark Boonyasampant located?
Mark Boonyasampant practices at 101 E Valencia Mesa Dr, Fullerton, CA 92835. The listed phone number is (510) 388-7271.
What is Mark Boonyasampant's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is Mark Boonyasampant enrolled in Medicare?
Yes. Mark Boonyasampant is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mark Boonyasampant's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Boonyasampant reassigns Medicare benefits to The Pathology Group, Inc. (Fullerton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Boonyasampant's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mark Boonyasampant was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.