Active NPI
Mackenzie McLaughlin, PA-C
- Physician Assistant
- Van Nuys, CA
National Provider Identifier
1447080403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 64842
- Practice address
- 15107 Vanowen St
Van Nuys, CA 91405-4597 - Phone
- (818) 782-6600
- NPI assigned
- Aug 5, 2024
- Last updated
- Jun 23, 2025
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 64842 | CA | Primary |
Addresses
Primary practice location
15107 Vanowen St
Van Nuys, CA 91405-4597
Mailing address
15107 Vanowen St
Van Nuys, CA 91405-4542
Phone (818) 782-6600
Other practice location 1
4929 Van Nuys Blvd
Sherman Oaks, CA 91403-1702
Phone (818) 981-7111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- State University of New York at Stony Brook, School of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1300 W 7TH St
San Pedro, CA 90732-3505
Phone (310) 514-5350
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64842 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Emergency Medical Group | Current | Accepting new patients |
Locations
1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350
4401 W Memorial Rd
Ste 121
Oklahoma City, OK 73134
Phone (405) 749-4560
Interoperability endpoints
- mackenzie.mclaughlin.1@25843.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- San Pedro, CA
- NPI 1518588433
-
- Emergency Medicine Physician
- Sherman Oaks, CA
- NPI 1518904150
-
- Emergency Medicine Physician
- Van Nuys, CA
- NPI 1033133103
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sherman Oaks Hospital
- General Acute Care Hospital
- Sherman Oaks, CA
- NPI 1750491247
-
dba Stony Brook Southampton Hospital
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1447080403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15107 VANOWEN ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914054542",
"telephone_number": "818-782-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15107 VANOWEN ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914054597",
"telephone_number": "818-782-6600"
}
],
"practiceLocations": [
{
"address_1": "4929 Van Nuys Blvd",
"address_purpose": "LOCATION",
"city": "Sherman Oaks",
"state": "CA",
"postal_code": "914031702",
"country_code": "US",
"telephone_number": "818-981-7111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCLAUGHLIN",
"first_name": "MACKENZIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-05",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "64842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.