JACOB MARTIN MACMASTER PMHNP IN PROGRESS NPI 1205636354

NPI Information

  • NPI: 1205636354
  • Provider Name: JACOB MARTIN MACMASTER, PMHNP IN PROGRESS
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1907 COLUMBIA ST APT 308
    SAN DIEGO, CA
    ZIP 92101
  • Phone: (559) 776-8864

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NPI Details

Jacob Martin Macmaster, PMHNP IN PROGRESS is a psychiatric/mental health nurse practitioner in San Diego, CA with 1 years of experience. Jacob Martin Macmaster, PMHNP IN PROGRESS NPI is 1205636354. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1907 COLUMBIA ST APT 308
SAN DIEGO, CA
ZIP 92101-219
Phone: (559) 776-8864

The NPI 1205636354 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 3/18/2025 and was last updated on 8/18/2025.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthRN95268641CALIFORNIAYes

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
1RN95268641OTHERCALIFORNIABOARD OF REGISTERED NURSING

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

NPI Synchronization or Removal

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