Mark J Provda, MD - Emergency Medicine in Walnut Creek, CA

Mark J Provda, MD is a Emergency Medicine physician based in Walnut Creek, California. Mark J Provda is licensed to practice in California (license number C37075) and his current practice location is 1425 S Main St, Walnut Creek, California. He can be reached at his office (for appointments etc.) via phone at (925) 295-4000.

NPI number for Mark J Provda is 1194803254 and his current mailing address is 1800 Harrison St Fl 7, Oakland, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194803254.

Contact Information

Mark J Provda, MD
1425 S Main St,
Walnut Creek, CA 94596-5318
(925) 295-4000
Not Available

Map and Direction




Physician's Profile

Full NameMark J Provda
GenderMale
SpecialityEmergency Medicine
Location1425 S Main St, Walnut Creek, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194803254
  • Provider Enumeration Date: 11/02/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mark J Provda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194803254NPI-NPPES
00C370750MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine C37075 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark J Provda is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mark J Provda, MD
1800 Harrison St Fl 7,
Oakland, CA 94612-3429

Ph: (510) 625-6262
Mark J Provda, MD
1425 S Main St,
Walnut Creek, CA 94596-5318

Ph: (925) 295-4000

Reviews and Comments


Emergency Medicine Doctors in Walnut Creek, CA

Brook Andrew Woolley, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1425 S Main St, Emergency Medicine Department, Walnut Creek, CA 94596
Phone: 925-295-5100    
Malcolm C Johnson, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598
Phone: 925-939-3000    
Alice Decker Hunter, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598
Phone: 925-939-3000    
Seigfred P. Jalalon, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1450 Treat Blvd # 160, Walnut Creek, CA 94597
Phone: 925-296-9000    
Theodore Ira Kloth, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598
Phone: 925-939-3000    
Stephanie Carlson, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1425 S Main St, Walnut Creek, CA 94596
Phone: 925-295-4000    
Michael R. Lozano, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1425 S Main St, Walnut Creek, CA 94596
Phone: 925-295-4000    

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