Christian Randall McIlwain

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

577271 Issued in CA

Practice address

26562 Espalter Dr
Mission Viejo, CA 92691-5116

Phone

(714) 318-9189

NPI assigned

May 25, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1716595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716595200000",
    "number": "1316787690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26562 ESPALTER DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915116",
            "telephone_number": "714-318-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26562 ESPALTER DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915116",
            "telephone_number": "714-318-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCILWAIN",
        "first_name": "CHRISTIAN",
        "middle_name": "RANDALL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-25",
        "last_updated": "2024-05-25",
        "certification_date": "2024-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "CA",
            "license": "577271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Lane McCormick
• Kathleen M McCormick, LVN
• Delaine Cole McCoy, D.D.S.
• Maegan McCoy, DOULA(DONA)
• Brianna McCulin
• James McKeon
• Kelly McLaughlin
• Judith McLeod, NP
• Hailey Evelina McNeese
• Suzanne Lynn McNulty, M.D.

• Registered Nurse First Assistant in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Registered Nurse First Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2024; 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.