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

Mr. Jesse J Mazza, ATC

Individual provider Specialist · NPI 1417921339

Mr. Jesse J Mazza, ATC is a Specialist in San Rafael, California. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

50 Acacia Ave
San Rafael, CA 94901-2230
Phone: (415) 257-1353
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1417921339
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedFebruary 15, 2006
Last updated in NPPESJuly 13, 2026

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