Individual
MARK CROSS
Active
Individual
MARK CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
19505
CA
363A00000X
Physician Assistant
Primary
PA-1548
ID
363AM0700X
Medical Physician Assistant
Primary
19505
CA
363AM0700X
Medical Physician Assistant
2322
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83821368
—
CA
Enumeration date
03/02/2007
Last updated
06/02/2026
Update your record
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