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

Active since August 19, 2022
100 S ELLSWORTH AVE STE 804, SAN MATEO, CA 94401(650) 417-3669 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 30, 2025, Aug 19, 2022 (2 updates tracked since 2022).

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
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

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Chiropractor
100 S ELLSWORTH AVE STE 804
SAN MATEO, CA 94401
Massage Therapist
100 S ELLSWORTH AVE STE 804
SAN MATEO, CA 94401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528786118, enumerated as an "individual" on August 19, 2022.

The provider is located at 100 S ELLSWORTH AVE STE 804 SAN MATEO, CA 94401 and the phone number is (650) 417-3669.

Massage Therapist with taxonomy code 225700000X.