Organization Active NPI

Robert C Mackin

  • Customized Equipment (DME)
  • King City, CA
National Provider Identifier
1932342250
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
SD0093020 Issued in CA
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

Updated by the provider on Jun 18, 2013

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.