Organization Active NPI

The McDonald Clinic Inc

  • Family Medicine Physician
  • Temecula, CA
National Provider Identifier
1568633246
Registry record updated Dec 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THE MCDONALD CLINIC INC
Practice address
31493 Rancho Pueblo Rd.
Suite #107
Temecula, CA 92592-4832
Phone
(951) 303-3337
Fax
(951) 303-2810
NPI assigned
Mar 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2008

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

Authorized official

Name
Dr. Kathy McDonald, M.D.
Title
Owner
Phone
(951) 303-3337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X CA Primary

Addresses

Primary practice location

31493 Rancho Pueblo Rd.
Suite #107
Temecula, CA 92592-4832

Mailing address

31493 Rancho Pueblo Rd.
Suite #107
Temecula, CA 92592-4832
Phone (951) 303-3337

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090717000037 CA Part B Supplier - Clinic/Group Practice 0345392627 Receives reassigned benefits from 5 practitioners
Practice locations: Temecula, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1088120McDonald Clinic Inc,the31493 Rancho Pueblo Rd Ste 107 BLDG F, Temecula, CA 92592Certificate of waiverAug 17, 2026

National Provider Directory

National Provider Directory

Locations

31493 Rancho Pueblo Rd
Ste 107
Temecula, CA 92592
Phone (951) 303-3337

Practitioners & affiliated clinicians

Practitioners 5

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": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230681600000",
    "number": "1568633246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31493 RANCHO PUEBLO RD.",
            "address_2": "SUITE #107",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925924832",
            "telephone_number": "951-303-3337",
            "fax_number": "951-303-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31493 RANCHO PUEBLO RD.",
            "address_2": "SUITE #107",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925924832",
            "telephone_number": "951-303-3337",
            "fax_number": "951-303-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MCDONALD CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-12-31",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-303-3337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.