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

Mark Ryan Andriese

Individual provider Peer Specialist · NPI 1730869462

Mark Ryan Andriese is a Peer Specialist in Stockton, California. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1803 W March Ln
Stockton, CA 95207-6458
Phone: (209) 302-2275
Show map & directions

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

Additional practice locations (1)

  • 1803 W March Ln, Stockton, CA 95207-6458 — (209) 302-2275

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1730869462
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 18, 2023
Last updated in NPPESApril 29, 2025
Certification dateApril 29, 2025
Mailing address1803 W March Ln, Stockton, CA 95207-6458

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