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

Mr. Mark Jonathan Khakali, RN

Individual provider Registered Nurse · NPI 1063284172

Mr. Mark Jonathan Khakali, RN is a Registered Nurse in Elk Grove, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

9449 Clementine Way
Elk Grove, CA 95758-3912
Phone: (781) 941-4008
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 846609 (CA)

Record details

NPI number1063284172
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedOctober 23, 2023
Last updated in NPPESOctober 26, 2023
Certification dateOctober 26, 2023
Mailing address9449 Clementine Way, Elk Grove, CA 95758-3912

Other providers in Elk Grove