MARK BAZALGETTE M.D. INC. NPI 1629386867

NPI Information

  • NPI: 1629386867
  • Provider Name: MARK BAZALGETTE, M.D., INC.
  • Classification: Colon & Rectal Surgery - 208C00000X
  • Entity Type: Organization
  • Address: 1300 S ELISEO DR
    SUITE 203
    GREENBRAE, CA
    ZIP 94904
  • Phone: (415) 461-3300

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NPI Details

MARK BAZALGETTE, M.D., INC. is a colon rectal surgery in Greenbrae, CA. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. MARK BAZALGETTE, M.D., INC. NPI is 1629386867. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1300 S ELISEO DR
SUITE 203
GREENBRAE, CA
ZIP 94904-023
Phone: (415) 461-3300
Fax: (415) 461-2934

The provider's authorized official is Kimberly Pardini .
The authorized official title is Practice Administrator and has the following contact phone number (415) 461-3300.

The enumeration date for this NPI number is 9/22/2010 and was last updated on 9/22/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208C00000XColon & Rectal SurgeryA46290CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E25283MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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