Active NPI
Victor Macy
- Driver
- Auburn, CA
National Provider Identifier
1366622441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- N0782128
- Practice address
- 98 Gum LN
Auburn, CA 95603-5511 - Phone
- (530) 823-5893
- Fax
- (530) 823-5471
- NPI assigned
- Nov 6, 2007
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | N0782128 | CA | Primary |
Addresses
Primary practice location
98 Gum LN
Auburn, CA 95603-5511
Mailing address
PO Box 7504
Auburn, CA 95604-7504
Phone (530) 823-5893
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MTN00600F | Other | CA | MEDI-CAL |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N0782128 | CA | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Macy Transportation & Communications Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Non-emergency Medical Transport (VAN)
- Auburn, CA
- NPI 1639248263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194307200000",
"number": "1366622441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7504",
"city": "AUBURN",
"state": "CA",
"postal_code": "956047504",
"telephone_number": "530-823-5893",
"fax_number": "530-823-5471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 GUM LN",
"city": "AUBURN",
"state": "CA",
"postal_code": "956035511",
"telephone_number": "530-823-5893",
"fax_number": "530-823-5471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACY",
"first_name": "VICTOR",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-06",
"last_updated": "2007-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CA",
"license": "N0782128",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "MTN00600F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.