Provider Demographics
NPI:1639249766
Name:MCATEE, JOHN STEPHEN (CP)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:STEPHEN
Last Name:MCATEE
Suffix:
Gender:M
Credentials:CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4517 MARKET ST
Mailing Address - Street 2:STE 4
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-7710
Mailing Address - Country:US
Mailing Address - Phone:805-658-1822
Mailing Address - Fax:805-658-1824
Practice Address - Street 1:4517 MARKET ST
Practice Address - Street 2:STE 4
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-7710
Practice Address - Country:US
Practice Address - Phone:805-658-1822
Practice Address - Fax:805-658-1824
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAXB0013520Medicaid
CA0437170001Medicare ID - Type Unspecified