Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark Ebalo, PP-2

Individual provider Social Worker · NPI 1205349255

Mark Ebalo, PP-2 is a Social Worker in San Jose, California. Works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2017
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Practice location Address checks out

1356 Ridder Park Dr
San Jose, CA 95131-2313
Phone: (669) 205-2512
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1360 E Lassen Ave, Chico, CA 95973 — (530) 267-1766
  • 185 Martinvale Ln, San Jose, CA 95119-1319 — (408) 207-0070

Specialties & licences

Social Worker (primary) Taxonomy 104100000X (CA)

Record details

NPI number1205349255
Entity typeIndividual (Type 1)
GenderMale
Credentials PP-2
Sole proprietorNo
NPI enumeratedNovember 13, 2017
Last updated in NPPESJune 20, 2023
Certification dateJune 20, 2023

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