IndividualActive
Mark Ebalo, PP-2
NPI 1205349255 · Social Worker · San Jose, CA
Mark Ebalo, PP-2 is a Social Worker provider in San Jose, CA (NPI 1205349255).
Provider details
- NPI number
- 1205349255
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- PP-2
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1356 Ridder Park Dr
San Jose, CA 95131-2313
Phone: (669) 205-2512
Street-level locationGet directions
Mailing address
1356 Ridder Park Dr
San Jose, CA 95131-2313
Additional practice locations (2)
- 1360 E Lassen AveChico, CA 95973Phone: (530) 267-1766
- 185 Martinvale LnSan Jose, CA 95119-1319Phone: (408) 207-0070
Registry dates
- Enumerated
- 2017-11-13
- Last updated
- 2023-06-20
- Certified
- 2023-06-20
Frequently asked questions
- What is Mark Ebalo's NPI number?
- Mark Ebalo's National Provider Identifier (NPI) is 1205349255, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Ebalo's specialty?
- Mark Ebalo is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Mark Ebalo located?
- Mark Ebalo's practice location on file with NPPES is 1356 Ridder Park Dr, San Jose, CA 95131-2313.
- What is Mark Ebalo's phone number?
- The practice phone number listed in the NPPES registry for Mark Ebalo is (669) 205-2512.
- Is Mark Ebalo's NPI active?
- Yes — Mark Ebalo's NPI (1205349255) is active in the NPPES registry as of the last update on 2023-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.