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Mark J Popovich

  • Male

Medical Specialty

Professional ID

  • NPI: 1245320704
  • PECOS ID: 5092884783
  • Enrollment ID: I20080521000360
  • Credential(MD, DO, DPM):
  • Medical School: University Of Southern California School Of Medicine
  • Medical School Graduation Year: 1985

Hospital Service

  • Hospital CCN1: 050291
  • Business Name (LBN)1: Sutter Santa Rosa Regional Hospital
  • Hospital CCN2: 050174
  • Business Name (LBN)2: Santa Rosa Memorial Hospital
  • Hospital CCN3: 051329
  • Business Name (LBN)3: Sutter Lakeside Hospital

Medical Practices

  • Organization Name: Sutter West Bay Medical Foundation
  • Group Practice ID assigned by PECOS: 0345145025
  • Number of Group Practice member: 343

Location

  • Address1: 3883 Airway Dr
  • Address2: Suite 100
  • City: Santa Rosa
  • State: California
  • Zip Code: 95403
  • Phone Number: (707)521-4480

Medical Practices

  • Organization Name: Sutter Bay Medical Foundation
  • Group Practice ID assigned by PECOS: 4284538778
  • Number of Group Practice member: 2407

Location

  • Address1: 131 Stony Cir
  • Address2: Suite 1600
  • City: Santa Rosa
  • State: California
  • Zip Code: 95401
  • Phone Number: (707)541-7800

Location

  • Address1: 2449 Summerfield Rd
  • Address2:
  • City: Santa Rosa
  • State: California
  • Zip Code: 95405
  • Phone Number: (707)523-7253

Location

  • Address1: 2455 Summerfield Rd
  • Address2:
  • City: Santa Rosa
  • State: California
  • Zip Code: 95405
  • Phone Number: (707)523-2666

Location

  • Address1: 34 Mark W Springs Rd
  • Address2:
  • City: Santa Rosa
  • State: California
  • Zip Code: 95403
  • Phone Number:

Location

  • Address1: 3883 Airway Dr
  • Address2:
  • City: Santa Rosa
  • State: California
  • Zip Code: 95403
  • Phone Number: (415)751-1817

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):