Active NPI
Robert C Mackin
- Customized Equipment (DME)
- King City, CA
National Provider Identifier
1932342250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- SD0093020
- Legal business name
- ROBERT C MACKIN
- Practice address
- 406 Canal St
King City, CA 93930-3412 - Phone
- (831) 385-6400
- Fax
- (831) 385-1015
- NPI assigned
- Apr 16, 2009
- 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
- Mrs. Rhonda L Nation
- Title
- Billing Manager
- Phone
- (831) 385-6400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | SD0093020 | CA | Primary |
Addresses
Primary practice location
406 Canal St
King City, CA 93930-3412
Mailing address
406 Canal St
King City, CA 93930-3412
Phone (831) 385-6400
National Provider Directory
National Provider DirectoryLocations
406 Canal St
King City, CA 93930
Phone (408) 385-6400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371513600000",
"number": "1932342250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 CANAL ST",
"city": "KING CITY",
"state": "CA",
"postal_code": "939303412",
"telephone_number": "831-385-6400",
"fax_number": "831-385-1015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 CANAL ST",
"city": "KING CITY",
"state": "CA",
"postal_code": "939303412",
"telephone_number": "831-385-6400",
"fax_number": "831-385-1015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT C MACKIN",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-16",
"last_updated": "2013-06-18",
"status": "A",
"authorized_official_last_name": "NATION",
"authorized_official_first_name": "RHONDA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "831-385-6400",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "CA",
"license": "SD0093020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in King City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.