John K Mackey (NPI# 1710960299, PAC ID# 3779477211) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1710960299 |
| PAC ID by PECOS | 3779477211 |
| Professional Enrollment ID | I20040213000423 |
| Full Name | John K Mackey |
| Organization Legal Name | HAWTHORNE RADIOLOGY ASSOCIATES MEDICAL GROUP, INC. |
| Address |
6325 Rodgerton Dr Los Angeles CA 90068-1915 |
| Phone Number | 3107141870 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 3072568690 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050058 | GLENDALE MEM HOSPITAL & HLTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6325 Rodgerton Dr, Los Angeles, CA 90068-1915 | 3107141870 | HAWTHORNE RADIOLOGY ASSOCIATES MEDICAL GROUP, INC. |
| Organization Legal Name | HAWTHORNE RADIOLOGY ASSOCIATES MEDICAL GROUP, INC. |
| Physicians | 1 |
| Street Address |
6325 RODGERTON DR |
| City | LOS ANGELES |
| State | CA |
| Zip | 90068-1915 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Navid A Ardakani | Diagnostic Radiology | Virtual Radiologic Professionals of California Pa | 6325 Rodgerton Dr, Los Angeles, CA 90068-1915 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darlene Eubanks | Physical Therapy | 6711 Forest Lawn Dr, Suite 104, Los Angeles, CA 90068-1032 | |
| Michael Ballentine | Physical Therapy | 6711 Forest Lawn Dr, Suite 104, Los Angeles, CA 90068-1032 | |
| Mark Kaplan | Psychiatry | 3575 Cahuenga Blvd W, Suite 243, Los Angeles, CA 90068-1341 | |
| William T. Vicary | Psychiatry | William T Vicary J D M D A Medical Corporation | 3575 Cahuenga Blvd W, Los Angeles, CA 90068-1342 |
| Cynthia Lynn Lucas | Clinical Social Worker | 3255 Cahuenga Blvd W, Suite 208, Los Angeles, CA 90068-1777 | |
| Carol A Schwartz | Clinical Social Worker | 7221 Outpost Cove Dr, Los Angeles, CA 90068-2009 |
| City | LOS ANGELES |
| Zip Code | 90068 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | LOS ANGELES + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on John K Mackey.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.