Organization Active NPI

The Maclean Group LLC

  • Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1760230056
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
THE MACLEAN GROUP LLC
Practice address
2233 Watt Ave Ste 296
Sacramento, CA 95825-0570
Phone
(916) 233-6769
NPI assigned
May 10, 2024
Last updated
May 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Authorized official

Name
Mr. Tony Campos
Title
Cfo
Phone
(916) 233-6769

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X NU
Licensed Practical Nurse 164W00000X NU
Family Medicine Physician 207Q00000X NU
General Practice Physician 208D00000X NU
Audiologist 231H00000X NU
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

2233 Watt Ave Ste 296
Sacramento, CA 95825-0570

Mailing address

2233 Watt Ave Ste 296
Sacramento, CA 95825-0570
Phone (916) 233-6769

National Provider Directory

National Provider Directory

Locations

2233 Watt Ave
Ste 296
Sacramento, CA 95825
Phone (775) 389-9136

NPI Registry JSON

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1760230056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 WATT AVE STE 296",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958250570",
            "telephone_number": "916-233-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 WATT AVE STE 296",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958250570",
            "telephone_number": "916-233-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MACLEAN GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "CAMPOS",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "916-233-6769",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.