MCKENZIE MCMAHON (NPI# 1316581333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316581333 |
| Entity Type | Individual |
| Full Name | MCKENZIE MCMAHON |
| Practice Address |
1504 Brookhollow Dr Ste 119 Santa Ana CA 92705-5418 |
| Mailing Address |
4425 Butler National Rd Corona CA 92883-4801 |
| Practice Telephone | 7145581050 |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 57452 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1504 BROOKHOLLOW DR STE 119 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92705-5418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
| 1477186625 | Joyce Altman Interpreters, Inc. | Interpreter | 1971 East 4th Street, Ste 206, Santa Ana, CA 92705 | 2020-02-17 |
| 1588214688 | Cindy Mejia | Behavior Technician | 505 N. Tustin Ave., #152, Santa Ana, CA 92705 | 2019-09-19 |
| 1588210504 | Jennifer Ang Lim-quevedo | Nurse Practitioner | 18362 Whitney Dr, Santa Ana, CA 92705 | 2019-08-15 |
| 1962056820 | Melinda Acosta Black | Social Worker | 1526 Brookhollow Drive, Santa Ana, CA 92705 | 2019-07-30 |
| 1972069631 | Amy Marie Elit | Nurse Practitioner | 1751 E Harry Ave, Santa Ana, CA 92705 | 2019-02-18 |
| 1386118180 | Unified Behavioral Health, LLC | Substance Abuse Rehabilitation Facility | 1218 W Santa Ana Blvd, Santa Ana, CA 92705 | 2019-01-15 |
| 1952884736 | Javier Perales | Social Worker | 1652 Windsor Ln, Santa Ana, CA 92705 | 2018-09-08 |
| 1073009700 | Eva E Kuncewicki | Marriage & Family Therapist | 1001 S Grand Ave # B, Santa Ana, CA 92705 | 2018-07-05 |
| 1487149886 | Nimbus Medtransport Inc. | Non-emergency Medical Transport (VAN) | 2112 E 4th St Ste 235, Santa Ana, CA 92705 | 2018-06-27 |
| Find all providers in zip 92705 | ||||
| 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 |
|---|---|---|---|---|
| 1386155208 | Yvonne Lam | Physician Assistant | 201 S. Broadway Ave, #208, Santa Ana, CA 92704-9270 | 2017-10-18 |
| 1255859948 | Jimmy Duc Bui | Physician Assistant | 2305 Strawberry Ln, Santa Ana, CA 92706-2240 | 2017-09-01 |
| 1518496256 | Sina Popal | Physician Assistant | 3210 S Shannon St, Santa Ana, CA 92704-6353 | 2017-06-07 |
| 1174058978 | Caroline Jo Dimatteo | Physician Assistant | 901 W Civic Center Clinic, Ste 120, Santa Ana, CA 92703 | 2017-04-29 |
| 1023467370 | Ivonne Landeros | Physician Assistant | 2010 Elite Pain Management, Suite 100, Santa Ana, CA 92705-6562 | 2016-06-08 |
| 1134544125 | Roberto Antonio Marin | Physician Assistant | 4402 W Camille St, Santa Ana, CA 92704-0614 | 2014-02-27 |
| 1891046330 | Vy-van Tran | Physician Assistant | 1212 S Bristol St Ste 16, Santa Ana, CA 92704-3439 | 2012-09-24 |
| 1316296932 | Van Laurie Nguyen | Physician Assistant | 1421 W Macarthur Blvd Ste E, Santa Ana, CA 92704-7318 | 2012-08-29 |
| 1871851519 | Jose Ruiz-ortega | Physician Assistant | 1430 W 1st St, Santa Ana, CA 92703-3724 | 2012-05-01 |
| 1497048250 | Lisa Marie Schrodi | Physician Assistant | 1534 E Warner Ave Ste A, Santa Ana, CA 92705-5475 | 2011-05-25 |
| Find all providers in SANTA ANA | ||||
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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.