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

Mr. Mark Anthony Petalcorin

Individual provider Registered Nurse · NPI 1487190435

Mr. Mark Anthony Petalcorin is a Registered Nurse in Sacramento, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

2150 Stockton Blvd
Sacramento, CA 95817-1337
Phone: (916) 875-1000
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 95035025 (CA)

Record details

NPI number1487190435
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 16, 2017
Last updated in NPPESJanuary 16, 2017

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