Active NPI
Omar Macias
- Day Training/Habilitation Specialist
- San Fernando, CA
National Provider Identifier
1639687239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- Practice address
- 919 1St St
San Fernando, CA 91340-2957 - Phone
- (323) 233-0425
- Fax
- (323) 232-2366
- NPI assigned
- Jan 17, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CA | ||
| Day Training/Habilitation Specialist | 373H00000X | Primary |
Addresses
Primary practice location
919 1St St
San Fernando, CA 91340-2957
Mailing address
919 1St St
San Fernando, CA 91340-2957
Phone (818) 256-2206
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1639687239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 1ST ST",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913402957",
"telephone_number": "818-256-2206",
"fax_number": "818-361-3210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 1ST ST",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913402957",
"telephone_number": "323-233-0425",
"fax_number": "323-232-2366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACIAS",
"first_name": "OMAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-17",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Fernando, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.