Provider Demographics
NPI:1346245669
Name:ADAME, MARK J (MD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:J
Last Name:ADAME
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1328 NATIVIDAD ROAD
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93906-3101
Mailing Address - Country:US
Mailing Address - Phone:831-757-8081
Mailing Address - Fax:831-757-0625
Practice Address - Street 1:1328 NATIVIDAD ROAD
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-3101
Practice Address - Country:US
Practice Address - Phone:831-757-8081
Practice Address - Fax:831-757-0625
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2021-01-26
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Provider Licenses
StateLicense IDTaxonomies
CAA048014207Q00000X
CAE98421207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ84660ZMedicaid
CA1346245669Medicaid
CAZZZ84660ZMedicare ID - Type Unspecified