Search › California › 101YP2500X
Mark Bourassa
NPI 1053295204 · on the registry since 2025
Practice
- Address
- 1305 Tommydon St
Stockton, CA 95210 - Phone
- (855) 268-4096
- Clinicians at this address
- 32
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California