Individual provider Active NPI

Cynthia Latham Macer, M.D.

  • General Practice Physician
  • Rolling Hills Estates, CA
National Provider Identifier
1659423374
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G67152 Issued in CA
Practice address
827 Deep Valley Dr
Suite 207
Rolling Hills Estates, CA 90274-3647
Phone
(310) 541-8400
Fax
(310) 541-7900
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X G67152 CA Primary

Addresses

Primary practice location

827 Deep Valley Dr
Suite 207
Rolling Hills Estates, CA 90274-3647

Mailing address

550 Deep Valley Dr
Ste 287
Rolling Hills Estates, CA 90274-7600
Phone (310) 541-8400

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
I20170208001797 CA Practitioner - General Practice 5799081360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Southern California Keck School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Macer MedicalGroup PAC ID 2860775210, 3 clinicians

Practice addresses (Care Compare)

550 Deep Valley Dr
Suite 287
Rolling Hills Estates, CA 90274-7600
Phone (310) 541-8400

Hospital & facility affiliations

  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G67152CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Macer Medical CurrentSince Aug 11, 2011 Accepting new patients

Locations

827 Deep Valley Dr
Ste 207
Rolling Hills Estates, CA 90274
Phone (310) 541-8400

550 Deep Valley Dr
Ste 287
Rolling Hills Estates, CA 90274
Phone (310) 541-7800

Organizations & group practices 1

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1659423374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 DEEP VALLEY DR",
            "address_2": "STE 287",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902747600",
            "telephone_number": "310-541-8400",
            "fax_number": "310-541-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 DEEP VALLEY DR",
            "address_2": "SUITE 207",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743647",
            "telephone_number": "310-541-8400",
            "fax_number": "310-541-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACER",
        "first_name": "CYNTHIA",
        "middle_name": "LATHAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G67152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Hills Estates, CA

Sources for this page

Verify at the official NPI Registry.