Healthcare Provider Details

I. General information

NPI: 1255850640
Provider Name (Legal Business Name): MARGARET A MACDONALD MSN, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2017
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 W CAMERON AVE STE 300-129
WEST COVINA CA
91790-2724
US

IV. Provider business mailing address

5213 DEVILLE CT
BAKERSFIELD CA
93308-7723
US

V. Phone/Fax

Practice location:
  • Phone: 916-351-9400
  • Fax:
Mailing address:
  • Phone: 310-251-6672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95007356
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95007356
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: