Active NPI
Linda Lou McDonald
- Rehabilitation Practitioner
- Yucca Valley, CA
National Provider Identifier
1669515664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- NONE
- Practice address
- 56020 Santa Fe TRL
#M
Yucca Valley, CA 92284-3148 - Phone
- (760) 369-4057
- Fax
- (760) 369-9473
- NPI assigned
- Feb 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | NONE | CA | Primary |
Addresses
Primary practice location
56020 Santa Fe TRL
#M
Yucca Valley, CA 92284-3148
Mailing address
56020 Santa Fe TRL
#M
Yucca Valley, CA 92284-3148
Phone (760) 369-4057
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NONE | CA | MD | Rehabilitation Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669515664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56020 SANTA FE TRL",
"address_2": "#M",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922843148",
"telephone_number": "760-369-4057",
"fax_number": "760-369-9473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56020 SANTA FE TRL",
"address_2": "#M",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922843148",
"telephone_number": "760-369-4057",
"fax_number": "760-369-9473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "LINDA",
"middle_name": "LOU",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": "NONE",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yucca Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.