DR. MARK TAMBELLINI M.D.
NPI 1902115793
Family Medicine - Adult Medicine in Granite Bay, CA

Active since September 28, 2010
5021 BROWER CT, GRANITE BAY, CA 95746(916) 761-9399(916) 774-4360 Get Directions Write a Review

NPPES record last updated: September 28, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark Tambellini M.d. NPPES

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

DR. MARK TAMBELLINI M.D. (NPI 1902115793) is an individual adult medicine provider in Granite Bay, California, licensed in California (G37599) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1902115793
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameDR. MARK TAMBELLINICredential: M.D.
Location Address5021 BROWER CTGranite Bay, CA 95746-6742
Mailing Address5021 Brower CtGranite Bay, CA 95746-6742 · (916) 761-9399 · Fax (916) 774-4360
Fax(916) 774-4360
Sole ProprietorYes
Enumeration DateSeptember 28, 2010
NPI 1902115793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License Licensed in CA · G37599
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
5021 BROWER CT, Granite Bay, CA 95746

Other Identifiers 1

OtherG37599CA · Medical Board Of California

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 Tambellini's NPI number?

The NPI number for Mark Tambellini is 1902115793. It was assigned to this individual provider in the NPPES registry on September 28, 2010.

Where is Mark Tambellini located?

Mark Tambellini practices at 5021 Brower Ct, Granite Bay, CA 95746. The listed phone number is (916) 761-9399.

What is Mark Tambellini's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Mark Tambellini was last updated on September 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.