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

Mr. Mark Jason Diaz, PA-C, MS, MPH

Individual provider Surgical Physician Assistant · NPI 1164942116

Mr. Mark Jason Diaz, PA-C, MS, MPH is a Physician Assistant in Davis, California. Qualified in 2017, 9 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
MS — Master of Science
A graduate science degree.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

2020 Sutter Pl Ste 104
Davis, CA 95616-6217
Phone: (530) 750-5900
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 54564 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 54564 (CA)

Record details

NPI number1164942116
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , MS , MPH
Sole proprietorNo
NPI enumeratedJune 21, 2017
Last updated in NPPESJuly 3, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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