Individual provider Active NPI

Colin Robert Macneil, D.O.

  • Emergency Medicine Physician
  • Colton, CA
National Provider Identifier
1790021285
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20A12538 Issued in CA
Practice address
400 N Pepper Ave
Colton, CA 92324-1801
Phone
(909) 580-1000
NPI assigned
Jan 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20A12538 CA Primary

Addresses

Primary practice location

400 N Pepper Ave
Colton, CA 92324-1801

Mailing address

7828 Day Creek Blvd Apt 1221
Rancho Cucamonga, CA 91739-8580
Phone (661) 755-2442

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
I20141007002827 CA Practitioner - Emergency Medicine 7214157635 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - CaliforniaGroup PAC ID 6103739131, shared by 2 NPIs, 1,278 clinicians

Practice addresses (Care Compare)

15031 Rinaldi St
Mission Hills, CA 91345-1207
Phone (818) 365-8051

1805 Medical Ctr Dr
San Bernardino, CA 92411-1217
Phone (909) 887-6333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A12538CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centinela Freeman Emergency Medical Associates, Inc. Emergency Medicine CurrentSince Jul 8, 2015 Accepting new patients
Pih Health Physicians CurrentSince Apr 1, 2017 Accepting new patients
Pih Health Physicians Current Accepting new patients
Hollywood Presbyterian Emergency Medical Associates, Inc. Emergency Medicine CurrentSince Jun 10, 2015 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Dec 1, 2015 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America-California Emergency Medicine CurrentSince Dec 1, 2015 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Montclair Emergency Medical Associates Emergency Medicine CurrentSince May 12, 2014 Accepting new patients
Pih Health Physicians CurrentSince Apr 1, 2017 Accepting new patients

Locations

751 Medical Center Ct
#1182
Chula Vista, CA 91911

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400

555 E Hardy St
Inglewood, CA 90301
Phone (310) 419-8636

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

24451 Health Center Dr
Laguna Hills, CA 92653
Phone (949) 452-3573

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

15733 Whittier Blvd
Whittier, CA 90603
Phone (562) 947-7754

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397174400000",
    "number": "1790021285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7828 DAY CREEK BLVD APT 1221",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398580",
            "telephone_number": "661-755-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801",
            "telephone_number": "909-580-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACNEIL",
        "first_name": "COLIN",
        "middle_name": "ROBERT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-02",
        "last_updated": "2014-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A12538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

Verify at the official NPI Registry.