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Deactivated NPI 1679621627 Deactivated / Inactive NPI Male Practitioner

Dr. Mark D. Mettler , MD

Surgery • Riverside, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mark Mettler has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 08, 2007
NPI Deactivation Date June 16, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Mettler, MD was a registered Surgery practicing in Riverside, CA. Throughout an active medical career spanning 14 years, Dr. Mettler provided care at the practice location at 10800 MAGNOLIA AVE until profile deactivation on 2021-06-16.

Practice Location & Contact Primary Location

Practice Address

10800 Magnolia Ave

Riverside, CA 925053043

Telephone 9093532000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Riverside, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.7 Yrs
State Avg: 27.4 Yrs
Regional Practice Density
57 Specialists

Practicing in Riverside, CA (3346 Statewide)

Telehealth Adoption Rate
1.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA G67186

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Patrick Mc Gill , PA

Physician Assistant

NPI 1003964958

Physician Assistant

NPI 1003975665

Doctor of Medicine (M.D.)

Dr. Richard Bradburne , MD

Internal Medicine - Critical Care Medicine

NPI 1003983925

Doctor of Medicine (M.D.)

Dr. Sung John , MD

Family Medicine

NPI 1013065085

Doctor of Medicine (M.D.)

Dr. Shelly Thio , MD

Internal Medicine

NPI 1013076637

Doctor of Medicine (M.D.)

Dr. Gregory Marrujo , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1013076686

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 16, 2021

Record deactivated on June 16, 2021

NPI Profile Active September 23, 2008

NPI status registered as active in NPPES database

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Updated Practice Location September 23, 2008

Registered at 10800 MAGNOLIA AVE, RIVERSIDE, CA 925053043 (Tel: 9093532000)

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Updated Business Mailing Address September 23, 2008

Registered at 10800 MAGNOLIA AVE, RIVERSIDE, CA 925053043 (Tel: 9093532000)

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Provider Name / Credentials Updated September 23, 2008

Recorded as MARK METTLER, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2008

Surgery (License #G67186 in CA)

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Initial NPI Registration & Enumeration January 08, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679621627
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 08, 2007
Last Update: September 23, 2008
Deactivation Date: June 16, 2021

Mailing Address

10800 Magnolia Ave

Riverside, CA 925053043

Phone: 9093532000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.