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

Mark Shacker

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1386582039

Mark Shacker is a Student in an Organized Health Care Education/Training Program in Stanford, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

300 Pasteur Dr # H3591
Stanford, CA 94305-2200
Phone: (669) 214-1711
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1386582039
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 24, 2026
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026
Mailing address1527 Wharton Ct, San Jose, CA 95132-2074

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