Active NPI
Gregory B. McMahill, O.D.
- Optometrist
- Palm Desert, CA
National Provider Identifier
1366505588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT 9489 TPA
- Practice address
- 72800 Dinah Shore Dr
Palm Desert, CA 92211-0814 - Phone
- (760) 202-0100
- Fax
- (760) 202-0121
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT 9489 TPA | CA | Primary |
Addresses
Primary practice location
72800 Dinah Shore Dr
Palm Desert, CA 92211-0814
Mailing address
72800 Dinah Shore Dr
Palm Desert, CA 92211-0814
Phone (760) 202-0100
Other names 1
- Dr. Gregory B. McMahill
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT 9489 TPA | CA | MD | Optometrist |
| 9489 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402012800000",
"number": "1366505588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72800 DINAH SHORE DR",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922110814",
"telephone_number": "760-202-0100",
"fax_number": "760-202-0121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72800 DINAH SHORE DR",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922110814",
"telephone_number": "760-202-0100",
"fax_number": "760-202-0121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHILL",
"first_name": "GREGORY",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2014-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT 9489 TPA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GREGORY",
"last_name": "MCMAHILL",
"middle_name": "B.",
"prefix": "DR.",
"credential": "O.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.