MARK ANTONIO BARDALEZ
NPI 1477323970
Peer Specialist in Los Angeles, CA

Active since January 05, 2024
307 S CENTRAL AVE, LOS ANGELES, CA 90013(213) 372-5233 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 24, 2025, Jan 5, 2024 (2 updates tracked since 2024).

About Mark Antonio Bardalez NPPES

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

MARK ANTONIO BARDALEZ (NPI 1477323970) is an individual peer specialist in Los Angeles, California, licensed in California (MPSS-CQILDB) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1477323970
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMARK ANTONIO BARDALEZ
Location Address307 S CENTRAL AVELos Angeles, CA 90013-1709
Mailing Address12070 Telegraph RdSanta Fe Springs, CA 90670-3771 · (562) 777-7500
Sole ProprietorYes
Enumeration DateJanuary 5, 2024
Last NPPES UpdateNovember 24, 20252 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
NPI 1477323970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in CA · MPSS-CQILDB
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
307 S CENTRAL AVE, Los Angeles, CA 90013

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.

Counselor (Addiction (Substance Use Disorder))
307 S CENTRAL AVE
LOS ANGELES, CA 90013
Counselor (Addiction (Substance Use Disorder))
307 S CENTRAL AVE
LOS ANGELES, CA 90013
Peer Specialist
307 S CENTRAL AVE
LOS ANGELES, CA 90013
Student in an Organized Health Care Education/Training Program
307 S CENTRAL AVE
LOS ANGELES, CA 90013
Counselor (Addiction (Substance Use Disorder))
307 S CENTRAL AVE
LOS ANGELES, CA 90013
Counselor (Addiction (Substance Use Disorder))
307 S CENTRAL AVE
LOS ANGELES, CA 90013
Counselor (Addiction (Substance Use Disorder))
307 S CENTRAL AVE
LOS ANGELES, CA 90013
Counselor (Addiction (Substance Use Disorder))
307 S CENTRAL AVE
LOS ANGELES, CA 90013

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 Bardalez's NPI number?

The NPI number for Mark Bardalez is 1477323970. It was assigned to this individual provider in the NPPES registry on January 5, 2024.

Where is Mark Bardalez located?

Mark Bardalez practices at 307 S Central Ave, Los Angeles, CA 90013. The listed phone number is (213) 372-5233.

What is Mark Bardalez's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Mark Bardalez was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.