1. Home
  2. Directory
  3. California
  4. San Diego
  5. Rehabilitation Practitioner
  6. NPI Profile

MARK MADISON
NPI 1205166014
Rehabilitation Practitioner in San Diego, CA

Active since December 30, 2009
2535 KETTNER BLVD, SUITE 1A4, SAN DIEGO, CA 92101(619) 615-0701(619) 615-0705 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark Madison NPPES

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

MARK MADISON (NPI 1205166014) is an individual rehabilitation practitioner in San Diego, California and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1205166014
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameMARK MADISON
Location Address2535 KETTNER BLVD, SUITE 1A4San Diego, CA 92101-1250
Mailing Address5650 Mount Ackerly DrSan Diego, CA 92111-4016 · (619) 254-8980
Phone(619) 615-0701
Fax(619) 615-0705
Sole ProprietorNo
Enumeration DateDecember 30, 2009
Last NPPES UpdateApril 5, 2023
NPPES CertifiedApril 5, 2023
✔ NPI 1205166014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
2535 KETTNER BLVD, San Diego, CA 92101
Open in Google Maps ↗

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.

GINA BALLESTREOS
Counselor
2535 KETTNER BLVD, SUITE 1A4
SAN DIEGO, CA 92101
San Diego County (619) 615-0701
TAUFAGA ILAOA-TAUPAU
Counselor
2535 KETTNER BLVD, 1A4
SAN DIEGO, CA 92101
San Diego County (619) 615-0701
SYLVIA VIZCARRA
Counselor
2535 KETTNER BLVD, SUITE 1A4
SAN DIEGO, CA 92101
San Diego County (619) 615-0701
MARIAH STACY
Counselor
2535 KETTNER BLVD, SUITE 1A4
SAN DIEGO, CA 92101
San Diego County (619) 615-0701
ESMERALDA ISABEL SANCHEZ QMHP
Counselor
2535 KETTNER BLVD
SAN DIEGO, CA 92101
San Diego County (619) 615-0701
DONNA JAMES
Behavior Technician
2535 KETTNER BLVD, SUITE 1A4
SAN DIEGO, CA 92101
San Diego County (619) 615-0701
CHERA TRIBBLE
Counselor
2535 KETTNER BLVD
SAN DIEGO, CA 92101
San Diego County (619) 612-0701
GISCARD BOULOU
Counselor
2535 KETTNER BLVD, SUITE 1A4
SAN DIEGO, CA 92101
San Diego County (619) 615-0701

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 Madison's NPI number?

The NPI number for Mark Madison is 1205166014. It was assigned to this individual provider in the NPPES registry on December 30, 2009.

Where is Mark Madison located?

Mark Madison practices at 2535 Kettner Blvd Suite 1a4, San Diego, CA 92101. The listed phone number is (619) 615-0701.

What is Mark Madison's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Mark Madison was last updated on April 5, 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.