Active NPI
Nanette Millan Macasinag, M.D.
- Pediatrics Physician
- Salinas, CA
National Provider Identifier
1528083219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A39731
- Practice address
- 1441 Constitution Blvd
BLDG. 200, Floor One, Suite 101
Salinas, CA 93906-3100 - Phone
- (831) 755-4124
- Fax
- (831) 759-6595
- NPI assigned
- Jul 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A39731 | CA | Primary |
Addresses
Primary practice location
1441 Constitution Blvd
BLDG. 200, Floor One, Suite 101
Salinas, CA 93906-3100
Mailing address
1615 Bunker Hill Way
Suite 100
Salinas, CA 93906-6013
Phone (831) 796-1304
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ02040Z | Other | CA | MEDICARE GROUP |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A39731 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monterey County Behavioral Health Division | 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.
-
- Community/Behavioral Health Agency
- Salinas, CA
- NPI 1730211178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1528083219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 BUNKER HILL WAY",
"address_2": "SUITE 100",
"city": "SALINAS",
"state": "CA",
"postal_code": "939066013",
"telephone_number": "831-796-1304",
"fax_number": "831-757-0291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 CONSTITUTION BLVD",
"address_2": "BLDG. 200, FLOOR ONE, SUITE 101",
"city": "SALINAS",
"state": "CA",
"postal_code": "939063100",
"telephone_number": "831-755-4124",
"fax_number": "831-759-6595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACASINAG",
"first_name": "NANETTE",
"middle_name": "MILLAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A39731",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "ZZZ02040Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salinas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.