MEDICARE: MACKENZIE D. NASH PA-S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA67239	CA

General Provider Information

NPI Number	:	1275353559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MACKENZIE D. NASH PA-S

Provider Business Mailing Address
First Line	:	10925 OLD OREGON TRL
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96003-8243
Country	:	US
Telephone Number	:	530-410-4137
Fax Number	:

Provider Business Practice Location Address
First Line	:	4031 CORRALITAS LN
Second Line	:
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762-5076
Country	:	US
Telephone Number	:	530-410-4137
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2024
Last Update Date	:	04/01/2026

Similar Medicare Providers

1013113935 — DAVID WU M.D.
Practice Location Address:

400 CONTINENTAL BLVD # 6144
EL SEGUNDO, CA
90245-5076

Practice Phone: 310-507-9121
Practice Fax:

1548666308 — WESTSIDE MEDICAL EVALUATORS
Practice Location Address:

400 CONTINENTAL BLVD , STE 600
EL SEGUNDO, CA
90245-5076

Practice Phone: 310-919-6811
Practice Fax: 310-356-3203

1316335334 — HYDRA HEALTH CENTERS
Practice Location Address:

400 CONTINENTAL BLVD , STE 600
EL SEGUNDO, CA
90245-5076

Practice Phone: 818-749-4778
Practice Fax:

1437620689 — NICOLE MARIE DESTEFANO BCBA
Practice Location Address:

400 CONTINENTAL BLVD STE 6035
EL SEGUNDO, CA
90245-5076

Practice Phone: 760-803-3717
Practice Fax:

1740843366 — CYSCODM GROUP, LLC
Practice Location Address:

400 CONTINENTAL BLVD STE 640
EL SEGUNDO, CA
90245-5076

Practice Phone: 747-238-2082
Practice Fax:

1447983119 — NICOLE M BRITTSAN LMFT,APCC
Practice Location Address:

400 CONTINENTAL BLVD
EL SEGUNDO, CA
90245-5076

Practice Phone: 310-648-0700
Practice Fax:

Directions to “ MACKENZIE D. NASH PA-S” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.