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

Mark Phillips

Individual provider Physician Assistant · NPI 1114167814

Mark Phillips is a Physician Assistant in Emeryville, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009

Practice location Address checks out

1335 Stanford Ave
Emeryville, CA 94608-2536
Phone: (510) 647-5101
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA17702 (CA)

Record details

NPI number1114167814
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 20, 2009
Last updated in NPPESApril 3, 2013

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