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MARIO JAMAR MACK JR.
NPI 1093412157
Student in an Organized Health Care Education/Training Program in Chula Vista, CA

Active since February 09, 2023
2304 SPANISH BAY RD, CHULA VISTA, CA 91915(619) 607-8450 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mario Jamar Mack Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIO JAMAR MACK JR. (NPI 1093412157) is an individual student in an organized health care education/training program in Chula Vista, California and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1093412157
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMARIO JAMAR MACK JR.
Location Address2304 SPANISH BAY RDChula Vista, CA 91915-2108
Mailing Address2304 Spanish Bay RdChula Vista, CA 91915-2108 · (619) 607-8450
Phone(619) 607-8450
Sole ProprietorYes
Enumeration DateFebruary 9, 2023
NPPES CertifiedFebruary 9, 2023
✔ NPI 1093412157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2304 SPANISH BAY RD, Chula Vista, CA 91915
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mario Mack's NPI number?

The NPI number for Mario Mack is 1093412157. It was assigned to this individual provider in the NPPES registry on February 9, 2023.

Where is Mario Mack located?

Mario Mack practices at 2304 Spanish Bay Rd, Chula Vista, CA 91915. The listed phone number is (619) 607-8450.

What is Mario Mack's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mario Mack was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.