Active NPI
Albert a. McClain, Jr., M.D., Inc.
- Otolaryngology Physician
- National City, CA
National Provider Identifier
1861501751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- G71625
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G716250 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
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- Coronado, CA
- NPI 1851544381
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.