Kendrick U Macam, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

95114164 Issued in CA

Practice address

5701 Lonetree Blvd Ste 200B
Rocklin, CA 95765-3793

Phone

(916) 805-7769

NPI assigned

Jun 19, 2025

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1326935743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 LONETREE BLVD STE 200B",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957653793",
            "telephone_number": "916-805-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 LONETREE BLVD STE 200B",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957653793",
            "telephone_number": "916-805-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACAM",
        "first_name": "KENDRICK",
        "middle_name": "U",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "95114164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Registered Nurse in Rocklin, CA
• Providers in Rocklin, CA by specialty
• Home Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.