Active NPI
The Maclean Group LLC
- Nurse Practitioner
- Sacramento, CA
National Provider Identifier
1760230056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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": []
}
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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.