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

Mark Shane Gillispie

Individual provider Emergency Medicine Physician · NPI 1932612025

Mark Shane Gillispie is an Emergency Medicine in Sacramento, California. Graduated from University of California, Davis School of Medicine in 2019, 7 years ago. Practices with Cep America - California, a 1,267-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Trained at
University of California, Davis School of Medicine
Licensed in
CA
In the registry since
2017
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Practice location Address checks out

2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone: (916) 734-5010
Fax: (916) 734-7950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A178118 (CA)

Record details

NPI number1932612025
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 10, 2017
Last updated in NPPESJune 8, 2022
Certification dateJune 8, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Cep America - California — 1267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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