Christine Mac, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95004943 Issued in CA

Practice address

11865 Firestone Blvd
Norwalk, CA 90650-2902

Phone

(562) 806-1214

Fax

(562) 806-1218

NPI assigned

Jan 20, 2017

Last updated

Mar 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Martin R Zapata DO Inc

  • Internal Medicine Physician
  • Norwalk, CA
  • NPI 1194924498
  Medicare reassignment NPD
• Ruben M Ruiz III MD Inc

  • General Practice Physician
  • Rosemead, CA
  • NPI 1942449442
  Medicare reassignment NPD
• Advanced Wound Care and Aesthetics

  • Nurse Practitioner
  • Norwalk, CA
  • NPI 1528725280
  Authorized official Same address or phone
• Empire Wound Care

  • General Practice Physician
  • Monrovia, CA
  • NPI 1710796792
  NPD
• Ruben M Ruiz III Medical Center

  • General Practice Physician
  • Rosemead, CA
  • NPI 1447653050
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1104363720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12020 HALLWOOD DR",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917321518",
            "telephone_number": "626-203-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11865 FIRESTONE BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502902",
            "telephone_number": "562-806-1214",
            "fax_number": "562-806-1218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7300 Santa Fe Ave.",
            "address_purpose": "LOCATION",
            "city": "Huntington Park",
            "state": "CA",
            "postal_code": "90255",
            "country_code": "US",
            "telephone_number": "323-277-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAC",
        "first_name": "CHRISTINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-20",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95004943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "NP95004943",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luxottica of America Inc. (Target Optical #1993)
• Ryan Ly, PSY.D.
• Kimberly Denise Lyons, LMHC
• Melanie Melyssa Ma
• Peter Ma
• Diana Macedo
• Kayley Machado
• Rachelle Sharon Mack, LVN
• Amanda K Madrid, LCSW
• Elizabeth Madrigal

• Family Nurse Practitioner in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.