MARK RYAN ANDRIESE
NPI 1730869462
Peer Specialist in Stockton, CA

Active since July 18, 2023
1803 W MARCH LN, STOCKTON, CA 95207(209) 302-2275 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 2, 2024, Jul 18, 2023 (2 updates tracked since 2023).

About Mark Ryan Andriese NPPES

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

MARK RYAN ANDRIESE (NPI 1730869462) is an individual peer specialist in Stockton, California and active in the NPI registry since July 2023. He maintains a secondary practice location in Stockton.

NPPES Registry Identity

NPI1730869462
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMARK RYAN ANDRIESE
Location Address1803 W MARCH LNStockton, CA 95207-6458
Mailing Address1803 W March LnStockton, CA 95207-6458 · (209) 302-2275
Sole ProprietorNo
Enumeration DateJuly 18, 2023
Last NPPES UpdateApril 29, 20252 updates tracked since enumeration
NPPES CertifiedApril 29, 2025
NPI 1730869462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
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.
1803 W MARCH LN, Stockton, CA 95207

Secondary Practice Location 1

Location 11803 W March LnStockton, CA 95207-6458 · Phone (209) 302-2275

Other Providers at the Same Location NPPES 17

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

Counselor
1803 W MARCH LN
STOCKTON, CA 95207
Community Health Worker
1803 W MARCH LN
STOCKTON, CA 95207
Day Training/Habilitation Specialist
1803 W MARCH LN
STOCKTON, CA 95207
Day Training/Habilitation Specialist
1803 W MARCH LN
STOCKTON, CA 95207
Peer Specialist
1803 W MARCH LN
STOCKTON, CA 95207
Community/Behavioral Health
1803 W MARCH LN, SUITE A, C, D, & G
STOCKTON, CA 95207
Day Training/Habilitation Specialist
1803 W MARCH LN
STOCKTON, CA 95207
Community/Behavioral Health
1803 W MARCH LN, SUITE A, C, D, & G
STOCKTON, CA 95207

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 Andriese's NPI number?

The NPI number for Mark Andriese is 1730869462. It was assigned to this individual provider in the NPPES registry on July 18, 2023.

Where is Mark Andriese located?

Mark Andriese practices at 1803 W March Ln, Stockton, CA 95207. The listed phone number is (209) 302-2275.

What is Mark Andriese'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 Andriese was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.