Individual provider Active NPI

James George Maccoll, RN

  • Registered Nurse
  • Spring Valley, CA
National Provider Identifier
1811224546
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
399517 Issued in CA
Practice address
3449 Monique LN
Spring Valley, CA 91977-2883
Phone
(619) 644-1626
NPI assigned
Nov 18, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 399517 CA Primary

Addresses

Primary practice location

3449 Monique LN
Spring Valley, CA 91977-2883

Mailing address

3449 Monique LN
Spring Valley, CA 91977-2883
Phone (619) 644-1626

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
399517CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1811224546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3449 MONIQUE LN",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919772883",
            "telephone_number": "619-644-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3449 MONIQUE LN",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919772883",
            "telephone_number": "619-644-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCOLL",
        "first_name": "JAMES",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "399517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.