Individual provider Active NPI

Chereese Marie Mackey

  • Acupuncturist
  • Yucaipa, CA
National Provider Identifier
1912789108
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC17839 Issued in CA
Practice address
32387 Yucaipa Blvd Ste a
Yucaipa, CA 92399-1886
Phone
(909) 797-9020
NPI assigned
Oct 20, 2023
Last updated
Oct 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC17839 CA Primary

Addresses

Primary practice location

32387 Yucaipa Blvd Ste a
Yucaipa, CA 92399-1886

Mailing address

600 S Placentia Ave Ste 600
Placentia, CA 92870-6300
Phone (714) 985-9554

Other practice location 1

600 S Placentia Ave Ste 600
Placentia, CA 92870-6300
Phone (714) 985-9554

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

State licenses

LicenseStateTypeSpecialty
AC17839CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Twins Physical Medicine PastSince Oct 22, 2023 Accepting new patients
Han Acu & Herbs, Inc Acupuncturist PastSince Oct 22, 2023 Accepting new patients
Twins Wellness PastSince Oct 22, 2023 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1912789108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S PLACENTIA AVE STE 600",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706300",
            "telephone_number": "714-985-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32387 YUCAIPA BLVD STE A",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923991886",
            "telephone_number": "909-797-9020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 S Placentia Ave Ste 600",
            "address_purpose": "LOCATION",
            "city": "Placentia",
            "state": "CA",
            "postal_code": "928706300",
            "country_code": "US",
            "telephone_number": "714-985-9554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "CHEREESE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC17839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucaipa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.