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

Mr. Mark Dizon, CAMTC89825

Individual provider Massage Therapist · NPI 1528786118

Mr. Mark Dizon, CAMTC89825 is a Massage Therapist in San Mateo, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

100 S Ellsworth Ave Ste 804
San Mateo, CA 94401-3926
Phone: (650) 417-3669
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 89825 (CA)

Record details

NPI number1528786118
Entity typeIndividual (Type 1)
GenderMale
Credentials CAMTC89825
Sole proprietorYes
NPI enumeratedAugust 19, 2022
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025

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