Individual provider Active NPI

Mark Edquiban, DPT

  • Physical Therapist
  • National City, CA
National Provider Identifier
1255208740
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
308772 Issued in CA
Practice address
3400 E 8TH St Ste 108
National City, CA 91950-3168
Phone
(619) 482-3000
NPI assigned
Oct 20, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 308772 CA Primary

Addresses

Primary practice location

3400 E 8TH St Ste 108
National City, CA 91950-3168

Mailing address

3400 E 8TH St Ste 108
National City, CA 91950-3168
Phone (619) 482-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260102001115 CA Practitioner - Physical Therapist in Private Practice 3971099516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Plus Physical Therapy, Inc.Group PAC ID 1850668773, 19 clinicians

Practice addresses (Care Compare)

3400 E 8TH St
Suite 108
National City, CA 91950-3168
Phone (619) 482-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
308772CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Plus Physical Therapy, Inc. Physical Therapist CurrentSince Sep 26, 2025 Accepting new patients
The Chiro Office PastSince Sep 26, 2025 Accepting new patients

Locations

1392 E Palomar St
Ste 503
Chula Vista, CA 91913
Phone (619) 482-3000

3400 E 8th St
Ste 108
National City, CA 91950
Phone (619) 482-3000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1255208740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 E 8TH ST STE 108",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919503168",
            "telephone_number": "619-482-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E 8TH ST STE 108",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919503168",
            "telephone_number": "619-482-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDQUIBAN",
        "first_name": "MARK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "308772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.