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ANDREA MACK
NPI 1902249691
Rehabilitation Practitioner in San Diego, CA

Active since April 11, 2013
2535 KETTNER BLVD, 1A4, SAN DIEGO, CA 92101(619) 615-0701 Get Directions Write a Review

NPPES record last updated: September 4, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andrea Mack NPPES

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

ANDREA MACK (NPI 1902249691) is an individual rehabilitation practitioner in San Diego, California and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1902249691
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameANDREA MACK
Location Address2535 KETTNER BLVD, 1A4San Diego, CA 92101-1250
Mailing Address2535 Kettner Blvd, 1a4San Diego, CA 92101-1250 · (619) 615-0701
Phone(619) 615-0701
Sole ProprietorNo
Enumeration DateApril 11, 2013
Last NPPES UpdateSeptember 4, 2023
NPPES CertifiedSeptember 4, 2023
✔ NPI 1902249691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCounselorTaxonomy 101Y00000X
2535 KETTNER BLVD, San Diego, CA 92101
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Other Providers at the Same Location NPPES 20

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

GINA BALLESTREOS
Counselor
2535 KETTNER BLVD, SUITE 1A4
SAN DIEGO, CA 92101
San Diego County (619) 615-0701
TAUFAGA ILAOA-TAUPAU
Counselor
2535 KETTNER BLVD, 1A4
SAN DIEGO, CA 92101
San Diego County (619) 615-0701
SYLVIA VIZCARRA
Counselor
2535 KETTNER BLVD, SUITE 1A4
SAN DIEGO, CA 92101
San Diego County (619) 615-0701
MARIAH STACY
Counselor
2535 KETTNER BLVD, SUITE 1A4
SAN DIEGO, CA 92101
San Diego County (619) 615-0701
ESMERALDA ISABEL SANCHEZ QMHP
Counselor
2535 KETTNER BLVD
SAN DIEGO, CA 92101
San Diego County (619) 615-0701
DONNA JAMES
Behavior Technician
2535 KETTNER BLVD, SUITE 1A4
SAN DIEGO, CA 92101
San Diego County (619) 615-0701
CHERA TRIBBLE
Counselor
2535 KETTNER BLVD
SAN DIEGO, CA 92101
San Diego County (619) 612-0701
GISCARD BOULOU
Counselor
2535 KETTNER BLVD, SUITE 1A4
SAN DIEGO, CA 92101
San Diego County (619) 615-0701

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 Andrea Mack's NPI number?

The NPI number for Andrea Mack is 1902249691. It was assigned to this individual provider in the NPPES registry on April 11, 2013.

Where is Andrea Mack located?

Andrea Mack practices at 2535 Kettner Blvd 1a4, San Diego, CA 92101. The listed phone number is (619) 615-0701.

What is Andrea Mack's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Andrea Mack was last updated on September 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.