DR. BRIAN MACKIE (NPI# 1790931426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790931426 |
| Entity Type | Individual |
| Full Name | DR. BRIAN MACKIE |
| Credential | DVM |
| Practice Address |
9801 Old Winery Pl Sacramento CA 95827-1700 |
| Mailing Address |
9801 Old Winery Place Sacramento CA 95827 |
| Practice Telephone | 9163623111 |
| Practice Fax Number | 9163620190 |
| Mailing Telephone | 9163623111 |
| Mailing Fax Number | 9163620190 |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2011-12-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174M00000X | Veterinarian | VET 15864 | CA | Other Service Providers |
| N | 174M00000X | Veterinarian | 5946-050 | WI | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891816104 | Brian Kevin Mackie | Physical Therapist | 4336 Fallbrook Blvd, Palm Harbor, FL 34685-2650 | 2007-04-03 |
| Street Address |
9801 OLD WINERY PL |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95827-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275170235 | Amy Braley | Occupational Therapist | Love Joy Adhc, 10293 Rockingham Dr, Sacramento, CA 95827 | 2019-12-09 |
| 1164078598 | Theresa Marie Reich | Home Health Aide | 9819 Lebra Avenue, Sacramento, CA 95827 | 2019-08-12 |
| 1790257475 | Elissa Beth Crandall | Counselor | 3353 Bradshaw Rd Ste 112, Sacramento, CA 95827 | 2018-12-19 |
| 1649746900 | Christopher Avery Di Domenico | Counselor | North Site: 4441 Auburn Blvd, Suite E, Sacramento, CA 95827 | 2018-10-15 |
| 1285156661 | Keith Ramon Blakely | Counselor | 9738 Lincoln Village, Sacramento, CA 95827 | 2017-07-07 |
| 1376065755 | Julianne Marlene Divirgilio | Counselor | 9738 Lincoln Village Dr., Sacramento, CA 95827 | 2017-07-07 |
| 1275981409 | Carl Phillips Jr. | Counselor | 2819 Pepper Oaks Dr, Sacramento, CA 95827 | 2016-05-27 |
| 1316335581 | Nancy Khun | Counselor | 3990 Branch Center Rd., Sacramento, CA 95827 | 2014-12-22 |
| 1750623385 | Davidshka Lynel Shavers | Counselor | 3340 Viking Dr, Suite 114, Sacramento, CA 95827 | 2013-03-21 |
| 1114263803 | John Kwamena Bankas | Marriage & Family Therapist | 9837 Folsom Blvd., Ste. F, Sacramento, CA 95827 | 2012-12-27 |
| Find all providers in zip 95827 | ||||
| Taxonomy Code | 174M00000X |
| Grouping | Other Service Providers |
| Classification | Veterinarian |
| A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |
| Notes: Source: Dorland’s Illustrated Medical Dictionary. 28th edition. Philadelphia: W.B. Saunders Company, 1994, p. 1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538535919 | Emily Holmes | Veterinarian | 1936 Del Paso Rd, Sacramento, CA 95834-1166 | 2015-08-19 |
| 1487067419 | Tristan Menz | Veterinarian | 7425 Greenhaven Dr, Sacramento, CA 95831-5166 | 2014-06-06 |
| 1386054120 | Melinda L.c. Sarte | Veterinarian | 1 Valine Ct, Sacramento, CA 95831-1603 | 2014-05-01 |
| 1396166781 | Douglas Hepper | Veterinarian | 5 Chickadee Ct, Sacramento, CA 95831-2341 | 2014-01-02 |
| 1861751356 | Shawn Clemmer | Veterinarian | 1413 60th St, Sacramento, CA 95819-4220 | 2012-05-03 |
| 1508230392 | Anjali Daryani | Veterinarian | 1 Valine Ct, Sacramento, CA 95831-1603 | 2015-11-17 |
| 1124427109 | Jason Rowan | Veterinarian | 1 Valine Ct, Sacramento, CA 95831-1603 | 2014-08-15 |
| 1447661038 | Lisa Jones | Veterinarian | 1 Valine Ct, Sacramento, CA 95831-1603 | 2014-05-16 |
| 1033520127 | Mary-catherine Reese | Veterinarian | 1 Valine Ct, Sacramento, CA 95831-1603 | 2014-05-12 |
| 1417367269 | Timothy Krasnansky | Veterinarian | 1 Valine Ct, Sacramento, CA 95831-1603 | 2014-05-02 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95827 |
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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.