DR. JILL DOUGAL MACKINNON M.D. NPI 1134201627

NPI Information

  • NPI: 1134201627
  • Provider Name: DR. JILL DOUGAL MACKINNON, M.D.
  • Classification: Neuromusculoskeletal Medicine & OMM - 204D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2001 DWIGHT WAY
    2ND FLOOR - ROOM # 2350
    BERKELEY, CA
    ZIP 94704
  • Phone: (510) 204-4738

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NPI Details

DR. Jill Dougal Mackinnon, M.D. is a neuromusculoskeletal medicine omm in Berkeley, CA. The provider is the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. DR. Jill Dougal Mackinnon, M.D. NPI is 1134201627. 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:

2001 DWIGHT WAY
2ND FLOOR - ROOM # 2350
BERKELEY, CA
ZIP 94704-608
Phone: (510) 204-4738
Fax: (510) 204-5892

The NPI 1134201627 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 enumeration date for this NPI number is 10/20/2006 and was last updated on 7/9/2007.

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
1204D00000XNeuromusculoskeletal Medicine & OMMG67976CALIFORNIAYes

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
100G679760OTHERCALIFORNIAMEDI-CAL
2F35552MEDICARE UPINCALIFORNIA

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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