Healthcare Provider Details

I. General information

NPI: 1598777500
Provider Name (Legal Business Name): JAMES M. MCCARTY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 05/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 VALLEY CHILDRENS PL
MADERA CA
93638-8761
US

IV. Provider business mailing address

9300 VALLEY CHILDRENS PL
MADERA CA
93638-8761
US

V. Phone/Fax

Practice location:
  • Phone: 559-353-6450
  • Fax: 559-353-7214
Mailing address:
  • Phone: 559-353-6450
  • Fax: 559-353-7214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberG44592
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License NumberG44592
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: