DR. REBECCA MARDACH MD
NPI 1457330607
Medical Genetics - Clinical Genetics (M.D.) in San Diego, CA

Q: What is Rebecca Mardach's NPI number?

The NPI number for Rebecca Mardach is 1457330607. It was assigned to this individual provider in the NPPES registry on January 14, 2006. The provider is also known as Dr. Rebecca Mardach-Verdon M.D..

Q: What is Rebecca Mardach's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Q: When was this NPI record last updated?

The NPPES record for Rebecca Mardach was last updated on June 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since January 14, 2006PECOS Enrolled

3030 CHILDRENS WAY, SAN DIEGO, CA 92123(619) 543-7800 Get Directions Write a Review

NPPES record last updated: June 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Rebecca Mardach Md NPPES

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

DR. REBECCA MARDACH MD (NPI 1457330607) is an individual clinical genetics (m.d.) provider in San Diego, California, licensed in California (A45110) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1457330607

Entity TypeIndividualFemale

Primary Taxonomy207SG0201X

Provider Legal NameDR. REBECCA MARDACHCredential: MD

Location Address3030 CHILDRENS WAYSan Diego, CA 92123

Mailing Address3020 Childrens Way # Mc5003San Diego, CA 92123-4223 · (858) 309-6300

Phone(619) 543-7800

Sole ProprietorNo

Enumeration DateJanuary 14, 2006

Last NPPES UpdateJune 3, 2019

✔ NPI 1457330607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians

Taxonomy Code207SG0201X

License✔ Licensed in CA · A45110

Definition

A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

Also ListedMedical Genetics · Clinical Biochemical GeneticsTaxonomy 207SG0202X · License A45110 (CA)

Also ListedPediatricsTaxonomy 208000000X · License A45110 (CA)

3030 CHILDRENS WAY, San Diego, CA 92123

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Other Names 1

Former Name (1)Dr. Rebecca Mardach-verdon M.d.

Secondary Practice Locations 2

Location 14700 W Sunset Blvd, First FloorLos Angeles, CA 90027-6082 · Phone (323) 783-6970 · Fax (323) 783-6915

Location 27920 Frost St Ste 200San Diego, CA 92123-4289 · Phone (858) 966-5840

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rebecca Mardach Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

DR. STEPHANIE LEONARD MEASURES MD

Allergy & Immunology

3030 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-5961

DR. STEVEN ALEXANDER BUREKHOVICH MD

Orthopaedic Surgery

3030 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-6789

ERIC WILLIAM EDMONDS MD

Orthopaedic Surgery

3030 CHILDRENS WAY, SUITE 410
SAN DIEGO, CA 92123

San Diego County (858) 966-6789

CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF OPTH

Ophthalmology

3030 CHILDRENS WAY, SUITE 109
SAN DIEGO, CA 92123

San Diego County (858) 309-7701

ANGELA LEE CHU M.D.

Pediatrics (Pediatric Gastroenterology)

3030 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-4003

HERBERT CLIFFORD KIMMONS JR. M.D.

Pediatrics

3030 CHILDRENS WAY, SUITE 213
SAN DIEGO, CA 92123

San Diego County (858) 966-8567

PETER OWEN NEWTON M.D.

Orthopaedic Surgery

3030 CHILDRENS WAY, SUITE 410
SAN DIEGO, CA 92123

San Diego County (858) 966-6789

MARYLOU SCOTT CPNP

Nurse Practitioner (Pediatrics)

3030 CHILDRENS WAY, STE 410
SAN DIEGO, CA 92123

San Diego County (858) 966-6789

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 Rebecca Mardach's NPI number?

The NPI number for Rebecca Mardach is 1457330607. It was assigned to this individual provider in the NPPES registry on January 14, 2006. The provider is also known as Dr. Rebecca Mardach-Verdon M.D..

Where is Rebecca Mardach located?

Rebecca Mardach practices at 3030 Childrens Way, San Diego, CA 92123. The listed phone number is (619) 543-7800.

What is Rebecca Mardach's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Is Rebecca Mardach enrolled in Medicare?

Yes. Rebecca Mardach is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rebecca Mardach was last updated on June 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.