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DR. MARK JASON M.D
NPI 1629179536
Specialist in Laguna Hills, CA

Active since September 25, 2006PECOS Enrolled
25411 CABOT RD, SUITE 112, LAGUNA HILLS, CA 92653(949) 364-5119(949) 364-1265 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark Jason M.d NPPES

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

DR. MARK JASON M.D (NPI 1629179536) is an individual specialist in Laguna Hills, California, licensed in California (G37528) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629179536
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. MARK JASONCredential: M.D
Location Address25411 CABOT RD, SUITE 112Laguna Hills, CA 92653-5520
Mailing Address25411 Cabot Rd, Suite 112Laguna Hills, CA 92653-5520 · (949) 364-5119 · Fax (949) 364-1265
Phone(949) 364-5119
Fax(949) 364-1265
Sole ProprietorNo
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629179536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G37528
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
25411 CABOT RD, Laguna Hills, CA 92653
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Other Identifiers 3

OtherZZZ648387CA · Blue Shield Pin
Medicare ID-Type UnspecifiedWG37528DCA · Medicare Provider #
Medicare UPINA47127CA

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. Mark Jason M.d 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 9

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

SANDRA M. KLONSKY M.F.T.
Marriage & Family Therapist
25411 CABOT RD, SUITE 107
LAGUNA HILLS, CA 92653
Orange County (949) 933-6157
KELLY PORTNOFF, M.D., INC.
Internal Medicine (Rheumatology)
25411 CABOT RD, SUITE 109
LAGUNA HILLS, CA 92653
Orange County (949) 364-5119
MS. JACQUELINE HYMAN I LCSW
Social Worker (Clinical)
25411 CABOT RD, STE 107
LAGUNA HILLS, CA 92653
Orange County (949) 713-7401
DR. SYLVIA B. LANE LCSW, MFT
Social Worker (Clinical)
25411 CABOT RD, SUITE 107
LAGUNA HILLS, CA 92653
Orange County (949) 443-3915
GARY L. SUGARMAN,M.D.,INC.
Clinic/Center (Primary Care)
25411 CABOT RD, SUITE 105
LAGUNA HILLS, CA 92653
Orange County (949) 829-9333
MR. VITALIY SHAULOV M.D.
Psychiatry & Neurology (Psychiatry)
25411 CABOT RD, SUITE 116
LAGUNA HILLS, CA 92653
Orange County (949) 309-7903
ARTHRITIS CENTER OF SOUTHERN ORANGE COUNTY
Specialist
25411 CABOT RD, SUITE 112
LAGUNA HILLS, CA 92653
Orange County (949) 364-5119
LEONEL MARTINEZ
Behavior Technician
25411 CABOT RD
LAGUNA HILLS, CA 92653
Orange County (949) 861-7340

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 Jason's NPI number?

The NPI number for Mark Jason is 1629179536. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Mark Jason located?

Mark Jason practices at 25411 Cabot Rd Suite 112, Laguna Hills, CA 92653. The listed phone number is (949) 364-5119.

What is Mark Jason's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mark Jason enrolled in Medicare?

Yes. Mark Jason is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Jason 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.