Individual provider Active NPI

Christina Lynn Maciel

  • Nurse Practitioner
  • Atascadero, CA
National Provider Identifier
1194472506
Registry record updated Mar 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95020165 Issued in CA
Practice address
9700 El Camino Real Ste 100
Atascadero, CA 93422-5571
Phone
(805) 466-1330
NPI assigned
Mar 5, 2022
Last updated
Mar 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95020165 CA Primary

Addresses

Primary practice location

9700 El Camino Real Ste 100
Atascadero, CA 93422-5571

Mailing address

416 Cedarwood Dr
Paso Robles, CA 93446-4448
Phone (805) 610-0416

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220603001551 CA Practitioner - Nurse Practitioner 2466830492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Coast Urgent Care IncGroup PAC ID 2264561125, 12 clinicians

Practice addresses (Care Compare)

9700 El Camino Real
Suite 100
Atascadero, CA 93422-5571
Phone (805) 466-1330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Coast Urgent Care Inc CurrentSince Apr 7, 2022 Accepting new patients

Locations

9700 El Camino Real
Ste 100
Atascadero, CA 93422
Phone (805) 461-9000

1028 N Douty St
Hanford, CA 93230
Phone (559) 530-2526

783 Quintana Rd
Ste 1
Morro Bay, CA 93442
Phone (805) 771-0108

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1646438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646438400000",
    "number": "1194472506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 CEDARWOOD DR",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934464448",
            "telephone_number": "805-610-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 EL CAMINO REAL STE 100",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934225571",
            "telephone_number": "805-466-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIEL",
        "first_name": "CHRISTINA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-05",
        "last_updated": "2022-03-05",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95020165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

Verify at the official NPI Registry.