Organization Active NPI

Albert a. McClain, Jr., M.D., Inc.

  • Otolaryngology Physician
  • National City, CA
National Provider Identifier
1861501751
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
G71625 Issued in CA
Legal business name
ALBERT A. MCCLAIN, JR., M.D., INC.
Practice address
655 Euclid Ave Ste 401
National City, CA 91950-2978
Phone
(619) 267-8440
Fax
(619) 267-8032
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Authorized official

Name
Albert A. McClain Jr., M. D.
Title
President
Phone
(619) 267-8440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X G71625 CA Primary

Addresses

Primary practice location

655 Euclid Ave Ste 401
National City, CA 91950-2978

Mailing address

655 Euclid Ave Ste 401
National City, CA 91950-2978
Phone (619) 267-8440

Other identifiers 1

IdentifierTypeStateIssuer
00G716250MedicaidCA

National Provider Directory

National Provider Directory

Locations

655 Euclid Ave
Ste 40
National City, CA 91950

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1861501751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 EUCLID AVE STE 401",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502978",
            "telephone_number": "619-267-8440",
            "fax_number": "619-267-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 EUCLID AVE STE 401",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502978",
            "telephone_number": "619-267-8440",
            "fax_number": "619-267-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT A. MCCLAIN, JR., M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-267-8440",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G71625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G716250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.