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

Mark R Homicz, MD

Individual provider Otolaryngology Physician · NPI 1336198449

Mark R Homicz, MD is an Otolaryngology in Santa Rosa, California. Graduated from Yale University School of Medicine in 1998, 28 years ago. Practices with Regents Univ of California UCSF, a 272-clinician group and offers telehealth. Licensed in California.

Years since qualifying
28
Trained at
Yale University School of Medicine
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1701 4th St Ste 120
Santa Rosa, CA 95404-3661
Phone: (707) 523-7025
Fax: (707) 523-3024
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence A70413 (CA)
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Taxonomy 207YX0007X · Licence A70413 (CA)

Record details

NPI number1336198449
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 8, 2006
Last updated in NPPESFebruary 7, 2012
Mailing address3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Regents Univ Of California Ucsf — 272 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in Santa Rosa