Active NPI
Dorothy E McLean, DPM
- Podiatrist
- Fresno, CA
National Provider Identifier
1417028036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E3876
- Practice address
- 6335 N Fresno St Ste 102
Fresno, CA 93710-5272 - Phone
- (559) 438-0283
- Fax
- (559) 438-9201
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E3876 | CA | Primary |
Addresses
Primary practice location
6335 N Fresno St Ste 102
Fresno, CA 93710-5272
Mailing address
PO Box 27195
Fresno, CA 93729-7195
Phone (559) 970-3749
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E3876 | Other | CA | CA LICENSE # |
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 |
|---|---|---|---|
| E3876 | CA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLean Jones Podiatry Corp. | Podiatrist | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1417028036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27195",
"city": "FRESNO",
"state": "CA",
"postal_code": "937297195",
"telephone_number": "559-970-3749",
"fax_number": "559-438-9201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6335 N FRESNO ST STE 102",
"city": "FRESNO",
"state": "CA",
"postal_code": "937105272",
"telephone_number": "559-438-0283",
"fax_number": "559-438-9201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEAN",
"first_name": "DOROTHY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E3876",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA LICENSE #",
"identifier": "E3876",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.