DR. MARK LAVERNE JANZEN MD NPI 1932329265

NPI Information

NPI: 1932329265
Provider Name: DR. MARK LAVERNE JANZEN, MD
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Organization: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

PECOS Registration: Yes

Address:
10800 MAGNOLIA AVENUE,
KAISER PERMANENTE RIVERSIDE MEDICAL CENTER
RIVERSIDE, CA
ZIP 92505
Phone: (440) 781-0931
Get Directions

DR. Mark Laverne Janzen, MD is a vascular surgery surgery in Riverside, CA with 23 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Mark Laverne Janzen, MD NPI is 1932329265. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10800 MAGNOLIA AVENUE,
KAISER PERMANENTE RIVERSIDE MEDICAL CENTER
RIVERSIDE, CA
ZIP 92505
Phone: (440) 781-0931

The NPI 1932329265 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/27/2007 and was last updated on 1/27/2017.

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
1	208600000X	Surgery		089484	OHIO	No
2	2086S0127X	Surgery	Trauma Surgery	089484	OHIO	No
3	2086S0129X	Surgery	Vascular Surgery	A90203	CALIFORNIA	Yes

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
1	152360469	MEDICARE PIN	MISSOURI

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: 11/14/2023

NPI Synchronization or Removal

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