Jacob Martin Macmaster, PMHNP IN PROGRESS

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN95268641 Issued in CA

Practice address

1907 Columbia St Apt 308
San Diego, CA 92101-2219

Phone

(559) 776-8864

NPI assigned

Mar 18, 2025

Last updated

Aug 18, 2025By the provider in NPPES

Sex

Male

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health Centers of AmericaGroup PAC ID 3476813460, 112 clinicians

Practice addresses (Care Compare)

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.

• Community Health Centers of America

  • Federally Qualified Health Center (FQHC)
  • Mariposa, CA
  • NPI 1891207684
  Medicare reassignment Care Compare group NPD
• Dr. Eric Chaghouri M.D., a Professional Medical Corporation

  dba Lucid Wellness Center

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1285395269
  Medicare reassignment NPD (past)
• Macmaster Psychiatric Services a Professional Nursing Corporation

  • Geriatric Psychiatry Physician
  • Mountain House, CA
  • NPI 1174456883
  NPD Authorized official
• Community Health Centers of America

  • Federally Qualified Health Center (FQHC)
  • Gustine, CA
  • NPI 1245105733
  NPD

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1205636354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 COLUMBIA ST APT 308",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012219",
            "telephone_number": "559-776-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 COLUMBIA ST APT 308",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012219",
            "telephone_number": "559-776-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACMASTER",
        "first_name": "JACOB",
        "middle_name": "MARTIN",
        "credential": "PMHNP IN PROGRESS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "RN95268641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REGISTERED NURSING",
            "identifier": "RN95268641",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karyna Maclean
• Kimberly Maclean
• John David Macleod
• Jonathan Macleod, MD
• Aoife E Macmahon, MD
• Lindsay C Macmaster, PSYD
• Caitlin Macmillen, DO
• Tracy Leanne Macnair, M.D
• Kelly Macneill-Cooney, CCC-SLP
• Ron Alan Macnutt, PA-C

• Psychiatric/Mental Health Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.