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MARK MASON HALEY PA
NPI 1558475699
Physician Assistant in San Luis Obispo, CA

Active since August 18, 2006
ONE GRAND AVE, SAN LUIS OBISPO, CA 93407(805) 756-1211 Get Directions Write a Review

NPPES record last updated: March 12, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark Mason Haley Pa NPPES

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

MARK MASON HALEY PA (NPI 1558475699) is an individual physician assistant in San Luis Obispo, California, licensed in California (PA17394) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1558475699
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARK MASON HALEYCredential: PA
Location AddressONE GRAND AVESan Luis Obispo, CA 93407-0210
Mailing AddressOne Grand AveSan Luis Obispo, CA 93407-0210 · (805) 756-1211
Phone(805) 756-1211
Sole ProprietorYes
Enumeration DateAugust 18, 2006
Last NPPES UpdateMarch 12, 2010
✔ NPI 1558475699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA17394
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
ONE GRAND AVE, San Luis Obispo, CA 93407
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Other Identifiers 3

Medicare PIN0PA173941CA
Medicare ID-Type Unspecified0PA173940CA
Medicare UPINQ47362CA

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 Haley's NPI number?

The NPI number for Mark Haley is 1558475699. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Mark Haley located?

Mark Haley practices at One Grand Ave, San Luis Obispo, CA 93407. The listed phone number is (805) 756-1211.

What is Mark Haley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mark Haley was last updated on March 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.