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

Mr. Mark Raymond Perreault, PA-C

Individual provider Physician Assistant · NPI 1356749451

Mr. Mark Raymond Perreault, PA-C is a Physician Assistant in San Diego, California. Qualified in 2014, 12 years ago. Practices with Regents of the University of California, a 2,061-clinician group and accepts Medicare assignment. Licensed in California and Connecticut.

Years since qualifying
12
Licensed in
CA, CT
In the registry since
2014
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

200 W Arbor Dr
San Diego, CA 92103-9000
Phone: (800) 926-8273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA57736 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 003332 (CT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 003332 (CT)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 003332 (CT)

Record details

NPI number1356749451
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 5, 2014
Last updated in NPPESJuly 20, 2021
Certification dateJuly 20, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Regents Of The University Of California — 2061 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Regents of the University of California

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2061 clinicians in the practice; 12 are shown here.

Other providers in San Diego