Individual provider Active NPI

Madeline Jeanne McDonald, PA-C

  • Physician Assistant
  • San Luis Obispo, CA
National Provider Identifier
1487308557
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60735 Issued in CA
Practice address
1941 Johnson Ave Ste 102
San Luis Obispo, CA 93401-4174
Phone
(805) 782-8844
NPI assigned
Feb 8, 2022
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60735 CA Primary

Addresses

Primary practice location

1941 Johnson Ave Ste 102
San Luis Obispo, CA 93401-4174

Mailing address

10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Phone (858) 554-7797

Other practice location 1

1941 Johnson Ave Ste 101
San Luis Obispo, CA 93401-4154
Phone (057) 828-8448

Other practice location 2

310 S Halcyon Rd Ste 105
Arroyo Grande, CA 93420-3863
Phone (805) 782-8844

Other practice location 3

850 Fair Oaks Ave Ste 100
Arroyo Grande, CA 93420-3929
Phone (805) 782-8844

Other practice location 4

295 Posada Ln Ste A
Templeton, CA 93465-4055
Phone (805) 782-8844

Other practice location 5

10710 N Torrey Pines Rd
LA Jolla, CA 92037-1035
Phone (858) 554-7797

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221130000560 CA Practitioner - Physician Assistant 6709254436 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scripps HealthGroup PAC ID 9234033853, 1,450 clinicians

Practice addresses (Care Compare)

10666 N Torrey Pines Rd
La Jolla, CA 92037-1027
Phone (858) 554-9100

9888 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 626-4123

9896 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 626-4123

9898 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 455-9100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.07 of 100Reported as group
Quality
80.14
Promoting interoperability
94
Improvement activities
40
Cost
71.76

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA60735CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health CurrentSince Jul 14, 2025 Accepting new patients
Scripps Health CurrentSince Jul 14, 2025 Accepting new patients
Coastal Cardiology a Medical Corp CurrentSince Mar 1, 2023 Accepting new patients
Coastal Cardiology a Medical Corp Current Accepting new patients
Scripps Health Current Accepting new patients
Coastal Cardiology a Medical Corp Current Accepting new patients
Scripps Clinic Medical Group Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients

Locations

310 S Halcyon Rd
Ste 105
Arroyo Grande, CA 93420
Phone 8057828844 ext. 161

10666 N Torrey Pines Rd
La Jolla, CA 92037
Phone (858) 554-2626

10710 N Torrey Pines Rd
La Jolla, CA 92037
Phone (858) 554-7993

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626

1941 Johnson Ave
Ste 102
San Luis Obispo, CA 93401
Phone 8057828844 ext. 161

1010 Murray Ave
Sn Luis Obisp, CA 93405
Phone (805) 546-7600

1941 Johnson Ave
Ste 101
Sn Luis Obisp, CA 93401

295 Posada Ln
Ste A
Templeton, CA 93465
Phone (805) 434-2262

2067 W Vista Way
Ste 250
Vista, CA 92083

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26058/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1487308557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10790 RANCHO BERNARDO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921275705",
            "telephone_number": "858-554-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 JOHNSON AVE STE 102",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014174",
            "telephone_number": "805-782-8844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1941 Johnson Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934014154",
            "country_code": "US",
            "telephone_number": "057-828-8448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 S Halcyon Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Arroyo Grande",
            "state": "CA",
            "postal_code": "934203863",
            "country_code": "US",
            "telephone_number": "805-782-8844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 Fair Oaks Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Arroyo Grande",
            "state": "CA",
            "postal_code": "934203929",
            "country_code": "US",
            "telephone_number": "805-782-8844",
            "fax_number": "805-549-6988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "295 Posada Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Templeton",
            "state": "CA",
            "postal_code": "934654055",
            "country_code": "US",
            "telephone_number": "805-782-8844",
            "fax_number": "805-549-6987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10710 N Torrey Pines Rd",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920371035",
            "country_code": "US",
            "telephone_number": "858-554-7797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "MADELINE",
        "middle_name": "JEANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA60735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.