LYNDA ANN MACKIN (NPI# 1568668234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568668234 |
| Entity Type | Individual |
| Full Name | LYNDA ANN MACKIN |
| Credential | NP |
| Practice Address |
1301 Shoreway Rd Suite 100 Belmont CA 94002-4151 |
| Mailing Address |
3160 Folsom Blvd Sacramento CA 95816-5219 |
| Practice Telephone | 6505967000 |
| Practice Fax Number | 6505967093 |
| Mailing Telephone | 9167335701 |
| Mailing Fax Number | 9167333401 |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
7017 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1301 SHOREWAY RD SUITE 100 |
| City | BELMONT |
| State | CA |
| Zip Code | 94002-4151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720009673 | Elizabeth Kocot | Internal Medicine | 1301 Shoreway Rd, Suite 100, Belmont, CA 94002-4151 | 2006-07-23 |
| 1801196605 | Gulpana M Mohammad | Family Medicine | 1301 Shoreway Rd, Suite 100, Belmont, CA 94002 | 2010-10-26 |
| 1740429182 | Chw Medical Foundation | Clinic/Center | 1301 Shoreway Rd, Suite 100, Belmont, CA 94002-4151 | 2009-02-09 |
| 1336315241 | Elizabeth Soda | Internal Medicine | 1301 Shoreway Rd, Suite 100, Belmont, CA 94002-4151 | 2008-05-01 |
| 1003081357 | Jesse Julian Waggoner | Internal Medicine | 1301 Shoreway Rd, Suite 100, Belmont, CA 94002-4151 | 2008-04-28 |
| 1215108204 | Select Physical Therapy Holdings Inc | Durable Medical Equipment & Medical Supplies | 1301 Shoreway Rd, Number 280, Belmont, CA 94002-4151 | 2008-03-18 |
| 1780772376 | Adil K Jadallah | Family Medicine | 1301 Shoreway Rd, Suite 100, Belmont, CA 94002-4151 | 2006-10-10 |
| 1962502872 | Randolph A. Chen | Internal Medicine | 1301 Shoreway Rd, Suite 100, Belmont, CA 94002-4151 | 2006-09-22 |
| 1518970409 | Gary A Greensweig | Family Medicine | 1301 Shoreway Rd, Ste. 100, Belmont, CA 94002-4151 | 2006-08-14 |
| 1174531859 | Dignity Health Medical Foundation | Clinic/Center | 1301 Shoreway Rd, Suite 100, Belmont, CA 94002-4151 | 2006-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740728740 | Simon Hirschl | Pathology | 9 Kittie Lane, Belmont, CA 94002 | 2017-02-09 |
| 1902251028 | Emma Yan Hiu Lee Chou | Occupational Therapist | 2410 Carlmont Dr, Belmont, CA 94002 | 2016-04-26 |
| 1740578087 | The Latino Commisson | Substance Abuse Rehabilitation Facility | 401 Briarfield Way, Belmont, CA 94002 | 2011-07-20 |
| 1053624189 | Pragya Jain | Internal Medicine | 1301 Shoreway Rd., Ste. 100, Belmont, CA 94002 | 2010-07-18 |
| 1194956425 | Lilia Patricia Gallegos | Marriage & Family Therapist | 1 Davis Drive, Belmont, CA 94002 | 2009-08-04 |
| 1407099088 | Dharmesh Patel | Radiology | 513 Seagate Way, Belmont, CA 94002 | 2009-04-13 |
| 1376688044 | Paul M. Takla | Dentist | 2130 Ralston Ave, Suite 1e, Belmont, CA 94002 | 2007-02-21 |
| 1487799987 | Mark Joseph Mcmahon | Physical Therapist | 549 Ralson Avenue, Suite B, Belmont, CA 94002 | 2007-02-21 |
| 1639216112 | Patricia Mary Wieser | Nurse Practitioner | 1541 Harbor Blvd, Belmont, CA 94002 | 2007-01-31 |
| 1063575157 | Peninsula Specialty Care | Dentist | 562 Ralston Ave, Belmont, CA 94002 | 2006-12-19 |
| Find all providers in zip 94002 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
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| 1982757548 | Jill Babcock | Nurse Practitioner | 268 Trapelo Rd, Belmont, MA 02478-1849 | 2007-01-18 |
| 1205890217 | Carol P Posey | Nurse Practitioner | 110 Oakcrest Dr, Belmont, NC 28012-7618 | 2006-04-14 |
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| 1730714007 | Julissa Leonides Caraballo | Nurse Practitioner | 4044 Promontory St, San Diego, CA 92109-5334 | 2020-03-07 |
| 1194355404 | Bethany Leda Donowho | Nurse Practitioner | 845 Via De La Paz Ste 16, Pacific Palisades, CA 90272-3627 | 2020-01-26 |
| 1518507078 | Rachel Saake Collar | Nurse Practitioner | 5100, 1000 Executive Pkwy, Oroville, CA 95966 | 2020-01-13 |
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| 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.