Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Derasmo, MD

Individual provider Infectious Disease Physician · NPI 1023647419

Mark Derasmo, MD is an Infectious Disease Physician in Travis AFB, California. Licensed in Mississippi. Registered with an NPI since 2020.

Licensed in
MS
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 Bodin Cir
Travis AFB, CA 94535-1809
Phone: (707) 423-7342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence 30410 (MS)

Record details

NPI number1023647419
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2020
Last updated in NPPESJuly 21, 2025
Certification dateJuly 21, 2025
Mailing address101 Bodin Cir, Travis Afb, CA 94535-1809

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