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

Nicole Whitney Mark

Individual provider Medical Physician Assistant · NPI 1609428598

Nicole Whitney Mark is a Physician Assistant in San Diego, California. Qualified in 2019, 7 years ago. Practices with Regents of the University of California, a 2,061-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

200 W Arbor Dr
San Diego, CA 92103-9000
Phone: (800) 926-8273
Fax: (888) 539-8781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 9400 Campus Point Dr, La Jolla, CA 92093-1350 — (800) 926-8273
  • 4250 1st Ave, San Diego, CA 92103-2026 — (800) 926-8273
  • 5030 Camino De La Siesta Ste 204, San Diego, CA 92108-3118 — (858) 455-5524

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 57109 (CA)
Medical Physician Assistant Taxonomy 363AM0700X
Medical Physician Assistant Taxonomy 363AM0700X · Licence 57109 (CA)

Record details

NPI number1609428598
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 11, 2019
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Regents Of The University Of California — 2061 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in San Diego