Jeffrey G. Mace, M.D., Professional Corporation

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

G32527 Issued in CA

Legal business name

JEFFREY G. MACE, M.D., PROFESSIONAL CORPORATION

Doing business as

Jeffrey G. Mace, M.D.

Practice address

242 Green Valley Rd
Freedom, CA 95019-3137

Phone

(831) 724-1811

Fax

(831) 724-1866

NPI assigned

Mar 7, 2007

Last updated

Jan 31, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Gene Mace, M.D.NPI 1861484511

Title

President

Phone

(831) 724-1811

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Jeffrey G. Mace, M.D. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey G Mace, MD

  • Cardiovascular Disease Physician
  • Freedom, CA
  • NPI 1861484511
  Medicare reassignment NPD Authorized official
• Vania Elizabeth Bernatsky, NP

  • Nurse Practitioner
  • Stanford, CA
  • NPI 1093933251
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422662400000",
    "number": "1235269374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 BROWNS VALLEY RD",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950760334",
            "telephone_number": "831-724-1811",
            "fax_number": "831-724-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 GREEN VALLEY RD",
            "city": "FREEDOM",
            "state": "CA",
            "postal_code": "950193137",
            "telephone_number": "831-724-1811",
            "fax_number": "831-724-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY G. MACE, M.D., PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2015-01-31",
        "status": "A",
        "authorized_official_last_name": "MACE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-724-1811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G32527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "ZZZ22894Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G325270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeffrey G. Mace, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew P Horsley, M.D.
• Carmen Philomena Hsu, M. D.
• Michael A Irete
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• Nancy Loraine Jacobsen, MD
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• John V. Crowder Jr M.D. Inc.
• William C Kadell, O.D.
• Anne Morganti Kato, M.D.
• Kayhan Mashouf DMD Inc

• Cardiovascular Disease Physician in Freedom, CA
• Providers in Freedom, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2015; 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.