MS. KRISTINE M. MACKEY


Address: 2650 S Bristol St, Ste. 101, Santa Ana, CA 92704-5751
Phone: 7147541444

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
254712 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2650 S BRISTOL ST
STE. 101
City SANTA ANA
State CA
Zip Code 92704-5751

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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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Competitor

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City SANTA ANA
Zip Code 92704

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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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