CHRISTINE MAC NP NPI 1104363720

NPI Information

  • NPI: 1104363720
  • Provider Name: CHRISTINE MAC, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11865 FIRESTONE BLVD
    NORWALK, CA
    ZIP 90650
  • Phone: (562) 806-1214

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NPI Details

Christine Mac, NP is a family nurse practitioner in Norwalk, CA. Christine Mac, NP NPI is 1104363720. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11865 FIRESTONE BLVD
NORWALK, CA
ZIP 90650-902
Phone: (562) 806-1214
Fax: (562) 806-1218

The NPI 1104363720 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Established patient home visit, typically 25 minutes (HCPCS:99348)
  • New patient home visit, typically 30 minutes (HCPCS:99342)

The enumeration date for this NPI number is 1/20/2017 and was last updated on 3/27/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyNP95004943CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1NP95004943OTHERCALIFORNIALICENCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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