Ke'Era Macon

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1917 E Pine St
Compton, CA 90221-1354

Phone

(702) 353-4953

NPI assigned

Jan 28, 2021

Last updated

Jan 28, 2021By 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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: keera.macon.p1@direct.nevadahealthcenters.nextgenshare.com
• Direct secure messaging: kmacon695025@direct.ochin.org

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.

• Nevada Health Centers, Inc

  dba Pahrump Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Pahrump, NV
  • NPI 1326872334
  NPD
• Nevada Health Centers, Inc.

  dba North Las Vegas Family Health Center

  • Federally Qualified Health Center (FQHC)
  • North Las Vegas, NV
  • NPI 1497820500
  NPD
• Nevada Health Centers Inc

  dba Elko Family Medical and Dental Center

  • Federally Qualified Health Center (FQHC)
  • Elko, NV
  • NPI 1073690616
  NPD (past)

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1487245916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 E PINE ST",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902211354",
            "telephone_number": "702-353-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 E PINE ST",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902211354",
            "telephone_number": "702-353-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACON",
        "first_name": "KE'ERA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Ly, PHARM.D.
• Tran To Ly, M.D.
• Lynwood Developmental Care, Inc
• Lynwood Developmental Care, Inc.
• Myesha M Mack
• Eva Maria Madrueno
• Joaquin S Magana
• Carolyn Patricia Magbie
• Ebony Valencia Malbry
• Shamequa Maloy, LVN

• Physician Assistant in Compton, CA
• Providers in Compton, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.