MARK PHILLIPS
NPI 1114167814
Physician Assistant in Emeryville, CA

Active since February 20, 2009
1335 STANFORD AVE, EMERYVILLE, CA 94608(510) 647-5101 Get Directions Write a Review

NPPES record last updated: April 3, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mark Phillips NPPES

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

MARK PHILLIPS (NPI 1114167814) is an individual physician assistant in Emeryville, California, licensed in California (PA17702) and active in the NPI registry since February 2009.

NPPES Registry Identity

NPI1114167814
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARK PHILLIPS
Location Address1335 STANFORD AVEEmeryville, CA 94608-2536
Mailing Address1335 Stanford AveEmeryville, CA 94608-2536 · (510) 647-5101
Sole ProprietorNo
Enumeration DateFebruary 20, 2009
Last NPPES UpdateApril 3, 2013
NPI 1114167814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA17702
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1335 STANFORD AVE, Emeryville, CA 94608

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pain Medicine (Interventional Pain Medicine)
1335 STANFORD AVE
EMERYVILLE, CA 94608
Pain Medicine (Interventional Pain Medicine)
1335 STANFORD AVE
EMERYVILLE, CA 94608
Physician Assistant
1335 STANFORD AVE
EMERYVILLE, CA 94608
Physician Assistant (Medical)
1335 STANFORD AVE
EMERYVILLE, CA 94608
Physician Assistant
1335 STANFORD AVE
EMERYVILLE, CA 94608
Internal Medicine
1335 STANFORD AVE
EMERYVILLE, CA 94608
Physician Assistant
1335 STANFORD AVE
EMERYVILLE, CA 94608
Psychologist (Clinical)
1335 STANFORD AVE
EMERYVILLE, CA 94608

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 Mark Phillips's NPI number?

The NPI number for Mark Phillips is 1114167814. It was assigned to this individual provider in the NPPES registry on February 20, 2009.

Where is Mark Phillips located?

Mark Phillips practices at 1335 Stanford Ave, Emeryville, CA 94608. The listed phone number is (510) 647-5101.

What is Mark Phillips's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mark Phillips was last updated on April 3, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.