MR. MARK RECIO NPI 1215474390

NPI Information

  • NPI: 1215474390
  • Provider Name: MR. MARK RECIO
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3110 E GUASTI RD STE 315
    ONTARIO, CA
    ZIP 91761
  • Phone: (346) 376-1702

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NPI Details

MR. Mark Recio is a family nurse practitioner in Ontario, CA with 10 years of experience. MR. Mark Recio NPI is 1215474390. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3110 E GUASTI RD STE 315
ONTARIO, CA
ZIP 91761-258
Phone: (346) 376-1702
Fax: (909) 466-4800

The NPI 1215474390 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/26/2017 and was last updated on 9/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily95005957CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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