Individual provider Active NPI

Gregory B. McMahill, O.D.

  • Optometrist
  • Palm Desert, CA
National Provider Identifier
1366505588
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 9489 TPA Issued in CA
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

Updated by the provider on Jun 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
OPT 9489 TPACAMDOptometrist
9489CAMDSpeech-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.

Verify at the official NPI Registry.