Active NPI
M'Chae Hollowell, CCMA, CPT
- Phlebology Physician
- Santa Ana, CA
National Provider Identifier
1548789407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- License
- H8N7F6J6
- Practice address
- 405 W 5TH St
Santa Ana, CA 92701-4599 - Phone
- (714) 834-4144
- NPI assigned
- Sep 12, 2017
- Last updated
- Sep 12, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | W9D2A7M8 | CA | |
| Phlebology Physician | 202K00000X | H8N7F6J6 | CA | Primary |
Addresses
Primary practice location
405 W 5TH St
Santa Ana, CA 92701-4599
Mailing address
1045 Sandgrouse LN
Perris, CA 92571-7707
Phone (714) 723-9203
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H8N7F6J6 | CA | MD | Phlebology Physician |
| W9D2A7M8 | CA | MD | Phlebology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505174400000",
"number": "1548789407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 SANDGROUSE LN",
"city": "PERRIS",
"state": "CA",
"postal_code": "925717707",
"telephone_number": "714-723-9203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W 5TH ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927014599",
"telephone_number": "714-834-4144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLOWELL",
"first_name": "M'CHAE",
"credential": "CCMA, CPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-12",
"last_updated": "2017-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "CA",
"license": "W9D2A7M8",
"primary": false
},
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "CA",
"license": "H8N7F6J6",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.