Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Newman Pederson, MD

Individual provider Diagnostic Radiology Physician · NPI 1063457034

Mark Newman Pederson, MD is a Diagnostic Radiology in Burlingame, California. Graduated from University of Iowa, Rj & L Carver College of Medicine in 1972, 54 years ago. Practices with County of San Mateo, a 316-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
54
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1783 El Camino Real
Burlingame, CA 94010-3205
Phone: (650) 696-5515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence G33814 (CA)

Record details

NPI number1063457034
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 16, 2006
Last updated in NPPESFebruary 6, 2009
Mailing addressP.O. Box 6102, Novato, CA 94948-6102

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 1972 (54 years in practice)
Group practice County Of San Mateo — 316 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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