Mac Hope Medical and Mental Health Clinic Inc

Primary specialty

Clinical Informatics PhysicianTaxonomy code 2083C0008X

Legal business name

MAC HOPE MEDICAL AND MENTAL HEALTH CLINIC INC

Practice address

851 S Mount Vernon Ave Ste 7a
Colton, CA 92324-3926

Phone

(760) 241-6044

NPI assigned

Jan 12, 2022

Organization subpart

No

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

Authorized official

Name

Kathy Adinma

Title

Credentialing Coordinator

Phone

(909) 912-4310

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1295486173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6279 SANDHILL PL",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392600",
            "telephone_number": "909-912-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 S MOUNT VERNON AVE STE 7A",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243926",
            "telephone_number": "760-241-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAC HOPE MEDICAL AND MENTAL HEALTH CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "ADINMA",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "909-912-4310"
    },
    "taxonomies": [
        {
            "code": "2083C0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Clinical Informatics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M Healthcare Nursing Corp
• Christopher Yue Ma
• Kelvin Ma, D.O.
• Quang Van Ma, PHARMACIST
• Iveth Mabry
• Renee Maccharles
• Kenn Maceren
• Debbie Mackenzie, MPT
• Derek James Maclean, DO
• Colin Robert Macneil, D.O.

• Clinical Informatics Physician in Colton, CA
• Providers in Colton, CA by specialty
• Clinical Informatics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.