ROBERT C MACKIN (NPI# 1932342250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932342250 |
| Entity Type | Organization |
| Organization Name | ROBERT C MACKIN |
| Practice Address |
406 Canal St King City CA 93930-3412 |
| Practice Telephone | 8313856400 |
| Practice Fax Number | 8313851015 |
| Mailing Telephone | 8313856400 |
| Mailing Fax Number | 8313851015 |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2013-06-18 |
| Authorized Official Name | MRS. RHONDA L NATION (BILLING MANAGER) |
| Authorized Official Telephone | 8313856400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
SD0093020 | CA | Suppliers |
| Street Address |
406 CANAL ST |
| City | KING CITY |
| State | CA |
| Zip Code | 93930-3412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043253933 | Robert C Mackin | Optometrist | 406 Canal St, King City, CA 93930-3412 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841841202 | Carl Jorgensen | Pharmacist | Riteaid, 540 Canal Street, King City, CA 93930 | 2019-09-26 |
| 1750780284 | Kayla Noon | Counselor | 200 Broadway St., Suite 70, King City, CA 93930 | 2014-08-20 |
| 1831323906 | Tawfiq Imam | Pharmacist | 540 Canal St, Rite Aid Pharmacy #5880, King City, CA 93930 | 2009-05-05 |
| 1588165351 | Mirella Mendoza | Nurse Practitioner | 122 E San Antonio Dr, King City, CA 93930 | 2018-02-26 |
| 1437510641 | Christina Sandoval | Counselor | 200 Broadway St, 70, King City, CA 93930 | 2016-03-15 |
| 1376920850 | Celia Trujillo | Counselor | 200 Broadway St, King City, CA 93930 | 2015-05-04 |
| 1497152078 | Nguyen Pham | Internal Medicine | 300 Canal St, King City, CA 93930 | 2014-11-26 |
| 1104171925 | Hassan Jadid | Internal Medicine | 300 Canal St, King City, CA 93930 | 2012-07-18 |
| 1821227422 | Jovanna M Velazquez | Technician, Other | 200 Broadway, Suite 88, King City, CA 93930 | 2009-07-06 |
| 1598961161 | Diane Lynn Hardy | Marriage & Family Therapist | 522 Broadway St, Suite D, King City, CA 93930 | 2007-06-21 |
| Find all providers in zip 93930 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
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| 1225659873 | I2b Networks, Inc | Durable Medical Equipment & Medical Supplies | 8830 Complex Dr, San Diego, CA 92123-1404 | 2020-05-05 |
| 1811522592 | Precision Patient Outcomes, Inc. | Durable Medical Equipment & Medical Supplies | 808 Gilman St, Berkeley, CA 94710-1422 | 2020-03-03 |
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| Find all providers with the same taxonomy | ||||
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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.