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

Mark J. Madsen, PA

Individual provider Physician Assistant · NPI 1407805757

Mark J. Madsen, PA is a Physician Assistant in Modesto, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1409 E Briggsmore Ave
Modesto, CA 95355-2707
Phone: (209) 550-4725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA10310 (CA)

Record details

NPI number1407805757
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 6, 2006
Last updated in NPPESDecember 6, 2012
Mailing address600 Coffee Rd, Modesto, CA 95355-4201

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