MS. KRISTINE M. MACKEY (NPI# 1831233584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831233584 |
Entity Type | Individual |
Full Name | MS. KRISTINE M. MACKEY |
Credential | PNP |
Practice Address |
2650 S Bristol St Ste. 101 Santa Ana CA 92704-5751 |
Practice Telephone | 7147541444 |
Practice Fax Number | 7147547009 |
Mailing Telephone | 7147541444 |
Mailing Fax Number | 7147547009 |
Enumeration Date | 2007-02-16 |
Last Update Date | 2012-01-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
254712 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2650 S BRISTOL ST STE. 101 |
City | SANTA ANA |
State | CA |
Zip Code | 92704-5751 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184669871 | Roxana P Minkus | Family Medicine | 2650 S Bristol St, Suite 105, Santa Ana, CA 92704 | 2006-06-18 |
1184089922 | Ashley Zaw | Nurse Practitioner | 2650 S Bristol St, Suites 101-103, Santa Ana, CA 92704-5751 | 2015-12-21 |
1114310372 | Michelle Thusinh Tran | Nurse Practitioner | 2650 S Bristol St, Suite 101, Santa Ana, CA 92704-5751 | 2015-03-12 |
1811317001 | Maydole Lopez Aldalur | Nurse Practitioner | 2650 S Bristol St, Ste 101, Santa Ana, CA 92704-5751 | 2014-04-26 |
1174945794 | Byong Hwi Lee, D.d.s, Inc | Dentist | 2650 S Bristol St, Suite 107, Santa Ana, CA 92704-5751 | 2014-01-16 |
1497991483 | Byong-hwi Lee | Dentist | 2650 S Bristol St, Suite107, Santa Ana, CA 92704-5751 | 2008-12-23 |
1528222767 | Ahmed Khosrowshahi | Pediatrics | 2650 S Bristol St, Suite 101, Santa Ana, CA 92704-5751 | 2008-07-16 |
1093991002 | Haideh Mobarak | Specialist | 2650 S Bristol St, 101&103, Santa Ana, CA 92704-5751 | 2008-01-21 |
1760661516 | Lubna Ajmal | Specialist | 2650 S Bristol St, 101- 103, Santa Ana, CA 92704-5751 | 2007-10-29 |
1962615369 | Jaime Raul Luna | Physician Assistant | 2650 S Bristol St, Suite 101, Santa Ana, CA 92704-5751 | 2007-05-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437771805 | Mohammad Abul-fielat Dds Inc | Dentist | 2341 S Bristol Street, Santa Ana, CA 92704 | 2020-05-08 |
1639728538 | Dorothy A Powell | Technician | 722 S. Arapaho Dr, Santa Ana, CA 92704 | 2019-09-04 |
1851945646 | Skinzone Medical Inc | Plastic Surgery | 3374 S. Bristol St, Santa Ana, CA 92704 | 2019-07-30 |
1215414024 | Sonia Molina | Dietitian, Registered | 2100 W Alton Ave Ste 2, Santa Ana, CA 92704 | 2018-07-24 |
1558854612 | Laura Fessler | Nurse Practitioner | 3501 S. Harbor Blvd, Santa Ana, CA 92704 | 2018-06-12 |
1104317940 | The Mend of California, LLC | Substance Abuse Rehabilitation Facility | 1909 W. Carlton Place, Santa Ana, CA 92704 | 2018-05-29 |
1154811784 | Phleetbo LLC | In Home Supportive Care | 3760 W Mcfadden Ave # B164, Santa Ana, CA 92704 | 2018-05-18 |
1588151393 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 3501 S Harbor Blvd Ste 140-b, Santa Ana, CA 92704 | 2018-04-17 |
1952811978 | Rising Roads Recovery Services for Women, LLC | Substance Abuse Rehabilitation Facility | 2750 S Harbor Blvd Ste G, Santa Ana, CA 92704 | 2017-10-04 |
1427577907 | Advance Oc Surgical Inc. | Clinic/Center | 3500 S. Bristol St., Suite 200, Santa Ana, CA 92704 | 2017-09-15 |
Find all providers in zip 92704 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972947653 | Nicole Yvette Esquer | Nurse Practitioner | 2514 W Adams St, Santa Ana, CA 92704-5547 | 2013-04-24 |
1205440377 | Claudia Alicia Rodriguez-zinn | Nurse Practitioner | 2650 S Bristol St Ste 101, Santa Ana, CA 92704-5751 | 2020-09-04 |
1316448533 | Camille Alexandria Ferrer | Nurse Practitioner | 2650 S Bristol St Ste 101, Santa Ana, CA 92704 | 2018-02-22 |
1164960324 | Vi Anh Ngoc Tran | Nurse Practitioner | 1725 W 17th St, Santa Ana, CA 92706 | 2017-02-08 |
1184089922 | Ashley Zaw | Nurse Practitioner | 2650 S Bristol St, Suites 101-103, Santa Ana, CA 92704-5751 | 2015-12-21 |
1114310372 | Michelle Thusinh Tran | Nurse Practitioner | 2650 S Bristol St, Suite 101, Santa Ana, CA 92704-5751 | 2015-03-12 |
1811317001 | Maydole Lopez Aldalur | Nurse Practitioner | 2650 S Bristol St, Ste 101, Santa Ana, CA 92704-5751 | 2014-04-26 |
1528488087 | Sarah Elizabeth Brodhead | Nurse Practitioner | 2650 S Bristol St Ste 101, Santa Ana, CA 92704-5751 | 2014-04-23 |
1245584069 | Gina Serrano | Nurse Practitioner | 801 N Tustin Ave Ste 205, Santa Ana, CA 92705-3600 | 2012-10-31 |
1861572778 | Shirley Mae Halbur | Nurse Practitioner | 1725 W 17th St, Santa Ana, CA 92706-2316 | 2006-10-16 |
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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.