Mr. Mark Douglas Grove, PA-C
Mr. Mark Douglas Grove, PA-C is a Physician Assistant in Loma Linda, California. Licensed in California. Registered with an NPI since 2024.
- Licensed in
- CA
- In the registry since
- 2024
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
24785 Stewart St Rm 201Loma Linda, CA 92350-1721
Phone: (909) 558-8161
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence PA65295 (CA) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence PA65295 (CA) |
Record details
| NPI number | 1679306153 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | August 21, 2024 |
| Last updated in NPPES | May 14, 2025 |
| Certification date | May 14, 2025 |
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