Organization Active NPI

Steven D Macina DO a Professional Medical Corporation

  • Psychiatry Physician
  • Huntington Beach, CA
National Provider Identifier
1528164332
Registry record updated Sep 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A6625 Issued in CA
Legal business name
STEVEN D MACINA DO A PROFESSIONAL MEDICAL CORPORATION
Practice address
8201 Newman Ave
Suite 200
Huntington Beach, CA 92647-7059
Phone
(714) 375-5405
Fax
(714) 375-5408
NPI assigned
Sep 16, 2006
Last updated
Sep 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2009

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

Authorized official

Name
Steven D Macina, DONPI 1124130471
Title
Owner
Phone
(714) 484-4900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20A6625 CA Primary

Addresses

Primary practice location

8201 Newman Ave
Suite 200
Huntington Beach, CA 92647-7059

Mailing address

25421 Spindlewood
Laguna Niguel, CA 92677-1901
Phone (714) 375-2077

Other identifiers 1

IdentifierTypeStateIssuer
00AX66251MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080527000291 CA Part B Supplier - Clinic/Group Practice 7517036940 Receives reassigned benefits from 1 practitioner
Practice locations: Stanton, CA; Westminster, CA; Laguna Beach, CA; Huntington Beach, CA; Garden Grove, CA; Buena Park, CA; Anaheim, CA; Fullerton, CA

National Provider Directory

National Provider Directory

Locations

1488 E Lincoln Ave
Anaheim, CA 92805
Phone (714) 776-2500

3400 W Ball Rd
Ste 100
Anaheim, CA 92804
Phone (714) 484-4900

10811 Chapman Ave
Garden Grove, CA 92840
Phone (714) 638-8777

8201 Newman Ave
Ste 200
Huntington Beach, CA 92647
Phone (714) 375-5405

8541 Cerritos Ave
Stanton, CA 90680
Phone (714) 821-5780

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1528164332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25421 SPINDLEWOOD",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771901",
            "telephone_number": "714-375-2077",
            "fax_number": "714-375-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 NEWMAN AVE",
            "address_2": "SUITE 200",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477059",
            "telephone_number": "714-375-5405",
            "fax_number": "714-375-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN D MACINA DO A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "MACINA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-484-4900",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A6625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX66251",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.