Riley S Mackall-Carney

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

HA8485 Issued in CA

Practice address

3180 Arden Way
Sacramento, CA 95825-3701

Phone

(415) 921-7658

NPI assigned

Oct 28, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Riley S Mackall Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Enloe Medical Center

  • Otolaryngology Physician
  • Chico, CA
  • NPI 1265863179
  Medicare reassignment NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment NPD
• Enloe Medical Center

  • Community/Retail Pharmacy
  • Chico, CA
  • NPI 1912949538
  NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Vallejo, CA
  • NPI 1336222397
  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD
• Hearing and Speech Center of Northern California

  • Audiologist
  • San Francisco, CA
  • NPI 1164577433
  NPD (past)

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1174166649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 ARDEN WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253701",
            "telephone_number": "415-921-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 ARDEN WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253701",
            "telephone_number": "415-921-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKALL-CARNEY",
        "first_name": "RILEY",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2022-01-11",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "RPE13565",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "HA8485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "3180 Arden Way Ste 202-16",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958253701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RILEY",
            "last_name": "MACKALL",
            "middle_name": "S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Isaac Christopher Mack
• J Hannah Cayleigh Mack
• Kira Elizabeth Ziehm Mack, MA
• Quinnan Mack
• Ursula M Mack
• Zoe Hezikiah Mackarness, RBT
• Marilyn Mackel
• Jean Mackenzie, PHD
• Katherine Diana Mackenzie, L.C.S.W.
• Kelsey Marie Mackenzie, PSYD

• Audiologist-Hearing Aid Fitter in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Audiologist-Hearing Aid Fitter in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.