Healthcare Provider Details

I. General information

NPI: 1649363334
Provider Name (Legal Business Name): MARK E READER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 W PUTNAM AVE
PORTERVILLE CA
93257-3257
US

IV. Provider business mailing address

390 N. PEARSON DRIVE
PORTERVILLE CA
93257
US

V. Phone/Fax

Practice location:
  • Phone: 559-781-3700
  • Fax:
Mailing address:
  • Phone: 559-791-1779
  • Fax: 559-791-9353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207YX0901X
TaxonomyOtology & Neurotology Physician
License Number20A8888
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number20A8888
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: