M Polly McKinstry MD Professional Corporation

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G54934B Issued in CA

Legal business name

M POLLY MCKINSTRY MD PROFESSIONAL CORPORATION

Practice address

23961 Calle de la Magdalena Ste 402
Laguna Hills, CA 92653-3685

Phone

(949) 595-0095

Fax

(949) 595-4459

NPI assigned

Mar 14, 2012

Organization subpart

Yes

Parent organization

M POLLY MCKINSTRY MD PROFESSIONAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Lavinia Crump

Title

Office Administrator

Phone

(949) 645-2250

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Part of

M Polly McKinstry M D a

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• M Polly McKinstry, M D

  • Specialist
  • Laguna Hills, CA
  • NPI 1447269501
  Medicare reassignment NPD

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1598030264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA STE 402",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533685",
            "telephone_number": "949-595-0095",
            "fax_number": "949-595-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA STE 402",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533685",
            "telephone_number": "949-595-0095",
            "fax_number": "949-595-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M POLLY MCKINSTRY MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "M POLLY MCKINSTRY MD PROFESSIONAL CORPORATION",
        "enumeration_date": "2012-03-14",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "CRUMP",
        "authorized_official_first_name": "LAVINIA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "949-645-2250"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G54934B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lymph Bright
• Lymph Bright
• Jeffrey A Lynch
• Lynda Truesdell Psychologist, PC
• Kenneth Robert Lynn, M.D.
• Mohammad Maabreh, OTR/L
• Janet Mary Macdonald
• McKenna Macfarlane
• Priscilla Macias
• Dailly Allee Mack, CPO

• Plastic Surgery Physician in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.