Active NPI
James Mackabee, MD
- Surgery Physician
- Valencia, CA
National Provider Identifier
1780779033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G46799
- Practice address
- 25775 McBean Pkwy
Suite 216
Valencia, CA 91355-3708 - Phone
- (661) 253-1353
- Fax
- (661) 253-1387
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G46799 | CA | Primary |
Addresses
Primary practice location
25775 McBean Pkwy
Suite 216
Valencia, CA 91355-3708
Mailing address
25775 McBean Pkwy
Suite 216
Valencia, CA 91355-3708
Phone (661) 253-1353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OOG46799O | Medicaid | CA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G46799 | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780779033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25775 MCBEAN PKWY",
"address_2": "SUITE 216",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913553708",
"telephone_number": "661-253-1353",
"fax_number": "661-253-1387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25775 MCBEAN PKWY",
"address_2": "SUITE 216",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913553708",
"telephone_number": "661-253-1353",
"fax_number": "661-253-1387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKABEE",
"first_name": "JAMES",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G46799",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OOG46799O",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Valencia, 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.