Debby McClendon, NURSE PRACTITIONER

Primary specialty

Community Health Nurse PractitionerTaxonomy code 363LC1500X

License

95028647 Issued in CA

Practice address

201 N Central Ave
Compton, CA 90220-1425

Phone

(310) 635-7123

Fax

(310) 635-0535

NPI assigned

Apr 1, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

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 and National Provider Directory roles.

• Omni Integrated Medical Group Inc

  • General Practice Physician
  • Placentia, CA
  • NPI 1366208845

  Single Specialty

  NPD

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1104677558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N CENTRAL AVE",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902201425",
            "telephone_number": "310-635-7123",
            "fax_number": "310-635-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N CENTRAL AVE",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902201425",
            "telephone_number": "310-635-7123",
            "fax_number": "310-635-0535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1075 E Pacific Coast Hwy Ste D",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908065090",
            "country_code": "US",
            "telephone_number": "562-269-0064",
            "fax_number": "310-635-0535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLENDON",
        "first_name": "DEBBY",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": "CA",
            "license": "95028647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdul Samad Masoud, M.D.
• Daniel Matemotja, MD
• Janine Mathis
• Matthew Adeleke (Adex Medical Supply)
• Minnie McClain
• Elaine McClendon
• Michael T McRae, PHD
• David Meacham, PA
• Fabiola Medeiros, M.D.
• Stacey Medina Pelayo

• Community Health Nurse Practitioner in Compton, CA
• Providers in Compton, CA by specialty
• Community Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.