Active NPI
Jason Marcas McKinney Sr.
- Home Health Aide
- Riverside, CA
National Provider Identifier
1386309490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 4747 Jurupa Ave Apt 89
Riverside, CA 92506-1960 - Phone
- (909) 234-8640
- NPI assigned
- Nov 3, 2021
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
4747 Jurupa Ave Apt 89
Riverside, CA 92506-1960
Mailing address
4747 Jurupa Ave Apt 89
Riverside, CA 92506-1960
Phone (909) 234-8640
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635897600000",
"number": "1386309490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4747 JURUPA AVE APT 89",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925061960",
"telephone_number": "909-234-8640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4747 JURUPA AVE APT 89",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925061960",
"telephone_number": "909-234-8640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNEY",
"first_name": "JASON",
"middle_name": "MARCAS",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-03",
"last_updated": "2021-11-03",
"certification_date": "2021-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.