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BRANDON MACK
NPI 1962045666
Physician Assistant in Fullerton, CA

Active since October 25, 2019
2575 YORBA LINDA BLVD, FULLERTON, CA 92831(714) 449-7400 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 18, 2021, Oct 25, 2019 (2 updates tracked since 2019).

About Brandon Mack NPPES

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

BRANDON MACK (NPI 1962045666) is an individual physician assistant in Fullerton, California and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1962045666
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRANDON MACK
Location Address2575 YORBA LINDA BLVDFullerton, CA 92831-1699
Mailing Address2575 Yorba Linda BlvdFullerton, CA 92831-1699 · (714) 449-7400
Phone(714) 449-7400
Sole ProprietorNo
Enumeration DateOctober 25, 2019
Last NPPES UpdateFebruary 18, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2021
✔ NPI 1962045666 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.
2575 YORBA LINDA BLVD, Fullerton, CA 92831
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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.

RACHEL JONES
Physician Assistant (Medical)
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7400
ONELKA DEVHARA DUNSFORD
Student in an Organized Health Care Education/Training Program
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7400
HANNAH HAHN
Physician Assistant
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7400
AMY WU
Physician Assistant
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (213) 550-7936
CASSIDY SPILLETT
Student in an Organized Health Care Education/Training Program
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7400
DR. REGINA SEEN WON GARRIOTT O.D.
Optometrist
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 992-7870
GUADALUPE VEGA
Student in an Organized Health Care Education/Training Program
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7400
RILEY BENNYWORTH
Student in an Organized Health Care Education/Training Program
2575 YORBA LINDA BLVD
FULLERTON, CA 92831
Orange County (714) 449-7400

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 Brandon Mack's NPI number?

The NPI number for Brandon Mack is 1962045666. It was assigned to this individual provider in the NPPES registry on October 25, 2019.

Where is Brandon Mack located?

Brandon Mack practices at 2575 Yorba Linda Blvd, Fullerton, CA 92831. The listed phone number is (714) 449-7400.

What is Brandon Mack'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 Brandon Mack was last updated on February 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.