SearchCalifornia101YA0400X

Mark Bovenkerk

NPI 1659298263 · on the registry since 2026

Practice

Address
1408 A St
Antioch, CA 94509
Phone
(925) 978-2873
Organisation at this address
J Cole Recovery Homes, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-03

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