Individual provider Active NPI

Meaghan Dorothy Ngilla McGraw, R.N., N.P.

  • Family Nurse Practitioner
  • Chula Vista, CA
National Provider Identifier
1356461842
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23792 Issued in CA
Practice address
769 Medical Center CT Ste 300
Chula Vista, CA 91911-6602
Phone
(619) 482-3090
Fax
(619) 482-7350
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 643732 CA
High-Risk Obstetric Registered Nurse 163WX0002X 643732 CA
Family Nurse Practitioner 363LF0000X 23792 CA Primary

Addresses

Primary practice location

769 Medical Center CT Ste 300
Chula Vista, CA 91911-6602

Mailing address

769 Medical Center CT Ste 300
Chula Vista, CA 91911-6602
Phone (619) 482-3090

Other names 1

  • Meaghan Dorothy McGraw Zwhalen Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160606002313 CA Order and Referring Only - Nurse Practitioner 9436449360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
643732CAMDHigh-Risk Obstetric Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1356461842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 MEDICAL CENTER CT STE 300",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116602",
            "telephone_number": "619-482-3090",
            "fax_number": "619-482-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 MEDICAL CENTER CT STE 300",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116602",
            "telephone_number": "619-482-3090",
            "fax_number": "619-482-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGILLA MCGRAW",
        "first_name": "MEAGHAN",
        "middle_name": "DOROTHY",
        "credential": "R.N., N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "643732",
            "primary": false
        },
        {
            "code": "163WX0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, High-Risk",
            "state": "CA",
            "license": "643732",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEAGHAN",
            "last_name": "ZWHALEN",
            "middle_name": "DOROTHY MCGRAW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.