MR. MARK RAINIER NAZARENO FNP
NPI 1114688769
Nurse Practitioner - Family in Tracy, CA

Q: What is Mark Rainier Nazareno's NPI number?

The NPI number for Mark Rainier Nazareno is 1114688769. It was assigned to this individual provider in the NPPES registry on January 5, 2022. The provider is also known as Mr. Mark Nazareno Fnp.

Q: What is Mark Rainier Nazareno's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since January 05, 2022

1220 VALENCIA DR, TRACY, CA 95377(562) 283-9267 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Mark Rainier Nazareno Fnp NPPES

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

MR. MARK RAINIER NAZARENO FNP (NPI 1114688769) is an individual family provider in Tracy, California, licensed in California (95019231) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1114688769

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. MARK RAINIER NAZARENOCredential: FNP

Location Address1220 VALENCIA DRTracy, CA 95377-8972

Mailing Address1220 Valencia DrTracy, CA 95377-8972 · (562) 283-9267

Phone(562) 283-9267

Sole ProprietorYes

Enumeration DateJanuary 5, 2022

NPPES CertifiedJanuary 5, 2022

✔ NPI 1114688769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95019231

1220 VALENCIA DR, Tracy, CA 95377

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Other Names 1

Professional Name (2)Mr. Mark Nazareno Fnp

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 Rainier Nazareno's NPI number?

The NPI number for Mark Rainier Nazareno is 1114688769. It was assigned to this individual provider in the NPPES registry on January 5, 2022. The provider is also known as Mr. Mark Nazareno Fnp.

Where is Mark Rainier Nazareno located?

Mark Rainier Nazareno practices at 1220 Valencia Dr, Tracy, CA 95377. The listed phone number is (562) 283-9267.

What is Mark Rainier Nazareno's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mark Rainier Nazareno was last updated on January 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.