Organization Active NPI

Macer Medical

  • Family Medicine Physician
  • Rolling Hills Estates, CA
National Provider Identifier
1114295417
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G67152 Issued in CA
Legal business name
MACER MEDICAL
Practice address
827 Deep Valley Dr
Suite 207
Rolling Hills Estates, CA 90274-3647
Phone
(310) 541-8400
Fax
(310) 541-7900
NPI assigned
Dec 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Authorized official

Name
Cynthia Macer, MDNPI 1659423374
Title
President/ Owner
Phone
(310) 541-8400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X G67152 CA Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X G42123 CA

Addresses

Primary practice location

827 Deep Valley Dr
Suite 207
Rolling Hills Estates, CA 90274-3647

Mailing address

PO Box 3098
Torrance, CA 90510-3098
Phone (310) 792-3914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170208001768 CA Part B Supplier - Clinic/Group Practice 2860775210 Receives reassigned benefits from 3 practitioners
Practice locations: Rolling Hills Estates, CA

National Provider Directory

National Provider Directory

Locations

827 Deep Valley Dr
Ste 207
Rolling Hills Estates, CA 90274
Phone (310) 541-8400

550 Deep Valley Dr
Ste 287
Rolling Hills Estates, CA 90274
Phone (310) 541-7800

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1114295417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3098",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905103098",
            "telephone_number": "310-792-3914",
            "fax_number": "855-898-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 DEEP VALLEY DR",
            "address_2": "SUITE 207",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743647",
            "telephone_number": "310-541-8400",
            "fax_number": "310-541-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACER MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "MACER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "310-541-8400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G67152",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G42123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Hills Estates, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.