MR. MARK DIZON CAMTC 89825 - NPI 1528786118 - Massage Therapist in San Mateo, CA

Q: What is the provider's specialty?

The provider's specialty is Massage Therapist with taxonomy code 225700000X.

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About Mr. Mark Dizon Camtc 89825 NPPES

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

MR. MARK DIZON CAMTC 89825 (NPI 1528786118) is an individual massage therapist in San Mateo, California, licensed in California (89825) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1528786118

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameMR. MARK DIZONCredential: CAMTC 89825

Location Address100 S ELLSWORTH AVE STE 804San Mateo, CA 94401-3926

Mailing Address480 E 4th Ave Unit 338San Mateo, CA 94401-3488 · (415) 350-8793

Phone(650) 417-3669

Sole ProprietorYes

Enumeration DateAugust 19, 2022

Last NPPES UpdateDecember 30, 20252 updates tracked since enumeration

NPPES CertifiedDecember 30, 2025

✔ NPI 1528786118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in CA · 89825

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

100 S ELLSWORTH AVE STE 804, San Mateo, CA 94401

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