CHARLES JOSEPH MACKEY (NPI# 1770789927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770789927 |
| Entity Type | Individual |
| Full Name | CHARLES JOSEPH MACKEY |
| Credential | PA-C |
| Practice Address |
Madera Hospital Family Health Services 1210 E. Almond Ave Madera CA 93637 |
| Practice Telephone | 5596755530 |
| Practice Fax Number | 5596755532 |
| Mailing Telephone | 5596755530 |
| Mailing Fax Number | 5596755532 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2019-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA 12957 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | PA 12957 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447362512 | Charles Sigler Mackey | Dentist | 1333 Oak Park Blvd., Lake Charles, LA 70601-8845 | 2006-08-31 |
| 1710960786 | Charles Edward Mackey | Internal Medicine | 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 | 2005-11-23 |
| Street Address |
MADERA HOSPITAL FAMILY HEALTH SERVICES 1210 E. ALMOND AVE |
| City | MADERA |
| State | CA |
| Zip Code | 93637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124635297 | Lindsay Kevin Ham | Pharmacist | 355 West Olive Ave, Madera, CA 93637 | 2020-09-23 |
| 1073163739 | Sandra Alicia Cruz | Behavioral Analyst | 1915 Howard Rd Suites B & C, Madera, CA 93637 | 2019-09-16 |
| 1205496494 | Ali Eshaghi | Pharmacist | 1504 Howard Rd. Savemart Pharmacy, Madera, CA 93637 | 2019-06-19 |
| 1881123222 | Ryan Leach | Case Manager/Care Coordinator | 209 W. Yosemite Ave, Madera, CA 93637 | 2017-06-08 |
| 1518496876 | Maria Angelica Maciel | Case Manager/Care Coordinator | 209 W. Yosemite Ave., Madera, CA 93637 | 2017-06-08 |
| 1376072736 | Teresa Ann Rodriguez Anzaldua | Case Manager/Care Coordinator | 209 W Yosemite Avenue, Madera, CA 93637 | 2017-06-08 |
| 1770022899 | Martha Dominguez Piceno | Nurse Practitioner | 1250 E. Almond Ave., Madera, CA 93637 | 2017-02-22 |
| 1851835623 | Joanna Barajas | Social Worker | 70 Makenna Drive, Madera, CA 93637 | 2016-12-13 |
| 1275924383 | Mandeep Kaur | Dentist | 1100 North Gateway Drive, Madera, CA 93637 | 2015-02-11 |
| 1265867535 | Arianna Llamas | Psychologist | 1955 Lemon Ave., Madera, CA 93637 | 2013-09-05 |
| Find all providers in zip 93637 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639644628 | Kevin Violette | Physician Assistant | 344 E Sixth Street, Madera, CA 93638 | 2018-10-05 |
| 1871014605 | Vishal Manhas | Physician Assistant | 2210 N Schnoor St Apt 203, Madera, CA 93637-4982 | 2017-07-01 |
| 1093792756 | Stephen M Manigo-hedt | Physician Assistant | 201 South B Street, Camarena Health Center, Madera, CA 93638 | 2005-12-23 |
| 1770190969 | Mallory King | Physician Assistant | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-09-30 |
| 1164034419 | Megan Eileen Bailey | Physician Assistant | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-08-18 |
| 1750992988 | Sarah June Peffer | Physician Assistant | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2020-08-11 |
| 1821566290 | Monica Martinez | Physician Assistant | 344 E 6th St, Madera, CA 93638-3631 | 2018-11-05 |
| 1578039665 | Parmveer Singh Bains | Physician Assistant | 344 E 6th St, Madera, CA 93638 | 2018-10-16 |
| 1770058521 | Traci Jane Grussenmeyer | Physician Assistant | 9300 Valley Childrens Pl # Sc05, Madera, CA 93636-8761 | 2018-10-08 |
| 1003300179 | Douglas Tyler Howell | Physician Assistant | 1250 E Almond Ave, Madera, CA 93637-5606 | 2018-06-21 |
| Find all providers in MADERA | ||||
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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.