MR. MARK CHARLES DE LA LAMA PA-C
NPI 1801876214
Physician Assistant - Medical in Phoenix, AZ

Active since January 20, 2006
4660 W THOMAS RD, PHOENIX, AZ 85031(602) 442-4500(602) 442-4505 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Mark Charles De La Lama Pa-c NPPES

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

MR. MARK CHARLES DE LA LAMA PA-C (NPI 1801876214) is an individual medical provider in Phoenix, Arizona, licensed in Arizona (3073) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1801876214
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. MARK CHARLES DE LA LAMACredential: PA-C
Location Address4660 W THOMAS RDPhoenix, AZ 85031-3718
Mailing Address6550 N 40th DrPhoenix, AZ 85019-1206 · (623) 322-5842
Fax(602) 442-4505
Sole ProprietorNo
Enumeration DateJanuary 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1801876214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in AZ · 3073
4660 W THOMAS RD, Phoenix, AZ 85031

Accepted Insurance

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.

Clinic/Center (Primary Care)
4660 W THOMAS RD, STE-A
PHOENIX, AZ 85031
Clinic/Center (Health Service)
4660 W THOMAS RD, STE-A
PHOENIX, AZ 85031

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 De La Lama's NPI number?

The NPI number for Mark De La Lama is 1801876214. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Mark De La Lama located?

Mark De La Lama practices at 4660 W Thomas Rd, Phoenix, AZ 85031. The listed phone number is (602) 442-4500.

What is Mark De La Lama's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

What insurance does Mark De La Lama accept?

Health plans from Blue Cross Blue Shield of Arizona list Mark De La Lama as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark De La Lama was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.