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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: August 16, 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
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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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSEPH TANNOUS D.C.
Chiropractor
100 S ELLSWORTH AVE STE 804
SAN MATEO, CA 94401
San Mateo County (650) 340-0045
JENNIFER VARGAS MASSAGE THERAPIST
Massage Therapist
100 S ELLSWORTH AVE STE 804
SAN MATEO, CA 94401
San Mateo County (650) 660-1331

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 Dizon's NPI number?

The NPI number for Mark Dizon is 1528786118. It was assigned to this individual provider in the NPPES registry on August 19, 2022.

Where is Mark Dizon located?

Mark Dizon practices at 100 S Ellsworth Ave Ste 804, San Mateo, CA 94401. The listed phone number is (650) 417-3669.

What is Mark Dizon's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Mark Dizon was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.