Nancy L McAllister, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

306630 Issued in CA

Practice address

3801 W Temple Ave
#46
Pomona, CA 91768-2557

Phone

(909) 869-4000

Fax

(909) 869-4561

NPI assigned

Feb 15, 2011

Last updated

Feb 15, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cal Poly University

  • Health Service Clinic/Center
  • Pomona, CA
  • NPI 1033410113
  NPD (past)

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1396042032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 W TEMPLE AVE",
            "address_2": "#46",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917682557",
            "telephone_number": "909-869-4000",
            "fax_number": "909-869-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 W TEMPLE AVE",
            "address_2": "#46",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917682557",
            "telephone_number": "909-869-4000",
            "fax_number": "909-869-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALLISTER",
        "first_name": "NANCY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "306630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Mazzei, NP
• Sarah Mbiri, RN
• Jill Catherine MC Kenzie
• Mary T. McAllen, LMFT
• Bennett David McAllister, O.D.
• Christine S McCarty
• Keith J McCarty, M.D.
• Arkegsha Monique McClain
• Chloe Marie McClean
• George B McClellan, DC

• Nurse Practitioner in Pomona, CA
• Providers in Pomona, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.