Individual provider Active NPI

Christina Maclean, PA-C

  • Physician Assistant
  • Redlands, CA
National Provider Identifier
1649550385
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA20681 Issued in CA
Practice address
1901 W Lugonia Ave
Suite 120
Redlands, CA 92374-9703
Phone
(909) 557-1600
NPI assigned
Aug 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA20681 CA Primary

Addresses

Primary practice location

1901 W Lugonia Ave
Suite 120
Redlands, CA 92374-9703

Mailing address

1901 W Lugonia Ave
Suite 120
Redlands, CA 92374-9703
Phone (909) 557-1600

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111013000087 CA Practitioner - Physician Assistant 6901078138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Bernardino Medical Orthopaedic Group IncGroup PAC ID 9335045228, 92 clinicians

Practice addresses (Care Compare)

1901 W Lugonia Ave
Redlands, CA 92374-9703
Phone (909) 557-1600

Hospital & facility affiliations

  • Redlands Community Hospital Hospital, Redlands, CA, CCN 050272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA20681CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
San Bernardino Medical Orthopaedic Group, Inc. CurrentSince Sep 19, 2011 Accepting new patients
San Bernardino Medical Orthopaedic Group, Inc. CurrentSince Sep 19, 2011 Accepting new patients
Martin Luther King, Jr. - Los Angeles (MLK-la) Healthcare Corporation Past Accepting new patients
San Bernardino Medical Orthopaedic Group, Inc. Past Accepting new patients
Eisenhower Medical Center Past Accepting new patients

Locations

835 Highland Springs Ave
Ste 210
Beaumont, CA 92223
Phone (626) 493-6348

15325 Fairfield Ranch Rd
Ste 150
Chino Hills, CA 91709
Phone (909) 557-1668

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

1901 W Lugonia Ave
Ste 240
Redlands, CA 92374
Phone (909) 557-1630

1901 W Lugonia Ave
Ste 310
Redlands, CA 92374
Phone (909) 793-2964

1801 Orange Tree Ln
Ste 240
Redlands, CA 92374

1801 Orange Tree Ln
Ste 200
Redlands, CA 92374
Phone (909) 557-1607

1901 W Lugonia Ave
Ste 120
Redlands, CA 92374
Phone (909) 557-1626

1901 W Lugonia Ave
Ste 210
Redlands, CA 92374
Phone (909) 557-1653

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1649550385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W LUGONIA AVE",
            "address_2": "SUITE 120",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923749703",
            "telephone_number": "909-557-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W LUGONIA AVE",
            "address_2": "SUITE 120",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923749703",
            "telephone_number": "909-557-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLEAN",
        "first_name": "CHRISTINA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.