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MARK J HOLLIS PA C
NPI 1902873748
Physician Assistant in San Luis Obispo, CA

Active since March 01, 2006
15 SANTA ROSA STREET, SAN LUIS OBISPO, CA 93405(805) 541-2650(805) 541-4043 Get Directions Write a Review

NPPES record last updated: July 13, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark J Hollis Pa C NPPES

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

MARK J HOLLIS PA C (NPI 1902873748) is an individual physician assistant in San Luis Obispo, California and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1902873748
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARK J HOLLISCredential: PA C
Location Address15 SANTA ROSA STREETSan Luis Obispo, CA 93405-1811
Mailing Address15 Santa Rosa StreetSan Luis Obispo, CA 93405-1811 · (805) 541-2650 · Fax (805) 541-4043
Phone(805) 541-2650
Fax(805) 541-4043
Sole ProprietorNo
Enumeration DateMarch 1, 2006
Last NPPES UpdateJuly 13, 2010
✔ NPI 1902873748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
15 SANTA ROSA STREET, San Luis Obispo, CA 93405
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Other Names 1

Professional Name (2)Mr. Mark J Hollis Pa

Other Identifiers 2

Medicare UPINR92963
Medicare ID-Type UnspecifiedWPA10498RCA

Other Providers at the Same Location NPPES

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

R JEFFREY HERTEN MD INC
Dermatology
15 SANTA ROSA STREET
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 541-2650

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 Hollis's NPI number?

The NPI number for Mark Hollis is 1902873748. It was assigned to this individual provider in the NPPES registry on March 1, 2006. The provider is also known as Mr. Mark J Hollis PA.

Where is Mark Hollis located?

Mark Hollis practices at 15 Santa Rosa Street, San Luis Obispo, CA 93405. The listed phone number is (805) 541-2650.

What is Mark Hollis'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 Hollis was last updated on July 13, 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.