Individual provider Active NPI

Carolyn A. McClain, M.D.

  • Public Health & General Preventive Medicine Physician
  • Portola Valley, CA
National Provider Identifier
1649472929
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
C180898 Issued in CA
Practice address
Maison Medical
150 Portola Rd
Portola Valley, CA 94028-0000
Phone
(650) 530-0015
NPI assigned
May 31, 2007
Last updated
Feb 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X C180898 CA Primary

Addresses

Primary practice location

Maison Medical
150 Portola Rd
Portola Valley, CA 94028-0000

Mailing address

150 Portola Rd Ste a
Portola Valley, CA 94028-7852
Phone (650) 530-0015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260324001718 CA Order and Referring Only - Preventive MedicinePractitioner - Preventive Medicine 1557462405

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C180898CAMDPublic Health & General Preventive Medicine Physician

Interoperability endpoints

  • Direct secure messaging: carolyn.mcclain.1@25843.direct.athenahealth.com
  • Direct secure messaging: carolyn.mcclain@1384432730116.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1649472929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PORTOLA RD STE A",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "940287852",
            "telephone_number": "650-530-0015",
            "fax_number": "650-353-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAISON MEDICAL",
            "address_2": "150 PORTOLA RD",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "940280000",
            "telephone_number": "650-530-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "CAROLYN",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "C180898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portola Valley, CA

Sources for this page

Verify at the official NPI Registry.