MCKENZIE MCMAHON


Address: 1504 Brookhollow Dr Ste 119, Santa Ana, CA 92705-5418
Phone: 7145581050

MCKENZIE MCMAHON (NPI# 1316581333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316581333
Entity Type Individual
Full Name MCKENZIE MCMAHON
Practice Address 1504 Brookhollow Dr Ste 119
Santa Ana
CA 92705-5418
Mailing Address 4425 Butler National Rd
Corona
CA 92883-4801
Practice Telephone 7145581050
Enumeration Date 2019-11-01
Last Update Date 2019-11-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 57452 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1504 BROOKHOLLOW DR STE 119
City SANTA ANA
State CA
Zip Code 92705-5418

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952919763 John G. Alevizos, D.o., A Professional Medical Corporation Preventive Medicine 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 2020-07-17
1477186625 Joyce Altman Interpreters, Inc. Interpreter 1971 East 4th Street, Ste 206, Santa Ana, CA 92705 2020-02-17
1588214688 Cindy Mejia Behavior Technician 505 N. Tustin Ave., #152, Santa Ana, CA 92705 2019-09-19
1588210504 Jennifer Ang Lim-quevedo Nurse Practitioner 18362 Whitney Dr, Santa Ana, CA 92705 2019-08-15
1962056820 Melinda Acosta Black Social Worker 1526 Brookhollow Drive, Santa Ana, CA 92705 2019-07-30
1972069631 Amy Marie Elit Nurse Practitioner 1751 E Harry Ave, Santa Ana, CA 92705 2019-02-18
1386118180 Unified Behavioral Health, LLC Substance Abuse Rehabilitation Facility 1218 W Santa Ana Blvd, Santa Ana, CA 92705 2019-01-15
1952884736 Javier Perales Social Worker 1652 Windsor Ln, Santa Ana, CA 92705 2018-09-08
1073009700 Eva E Kuncewicki Marriage & Family Therapist 1001 S Grand Ave # B, Santa Ana, CA 92705 2018-07-05
1487149886 Nimbus Medtransport Inc. Non-emergency Medical Transport (VAN) 2112 E 4th St Ste 235, Santa Ana, CA 92705 2018-06-27
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386155208 Yvonne Lam Physician Assistant 201 S. Broadway Ave, #208, Santa Ana, CA 92704-9270 2017-10-18
1255859948 Jimmy Duc Bui Physician Assistant 2305 Strawberry Ln, Santa Ana, CA 92706-2240 2017-09-01
1518496256 Sina Popal Physician Assistant 3210 S Shannon St, Santa Ana, CA 92704-6353 2017-06-07
1174058978 Caroline Jo Dimatteo Physician Assistant 901 W Civic Center Clinic, Ste 120, Santa Ana, CA 92703 2017-04-29
1023467370 Ivonne Landeros Physician Assistant 2010 Elite Pain Management, Suite 100, Santa Ana, CA 92705-6562 2016-06-08
1134544125 Roberto Antonio Marin Physician Assistant 4402 W Camille St, Santa Ana, CA 92704-0614 2014-02-27
1891046330 Vy-van Tran Physician Assistant 1212 S Bristol St Ste 16, Santa Ana, CA 92704-3439 2012-09-24
1316296932 Van Laurie Nguyen Physician Assistant 1421 W Macarthur Blvd Ste E, Santa Ana, CA 92704-7318 2012-08-29
1871851519 Jose Ruiz-ortega Physician Assistant 1430 W 1st St, Santa Ana, CA 92703-3724 2012-05-01
1497048250 Lisa Marie Schrodi Physician Assistant 1534 E Warner Ave Ste A, Santa Ana, CA 92705-5475 2011-05-25
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Competitor

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City SANTA ANA
Zip Code 92705

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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