Provider Demographics
NPI:1689971814
Name:MCATEE, JONI LAINE (MD)
Entity Type:Individual
Prefix:
First Name:JONI
Middle Name:LAINE
Last Name:MCATEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2906 F ST UNIT 6620
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95502-4109
Mailing Address - Country:US
Mailing Address - Phone:707-733-3756
Mailing Address - Fax:908-388-5931
Practice Address - Street 1:2909 F ST
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-4424
Practice Address - Country:US
Practice Address - Phone:707-733-3756
Practice Address - Fax:908-388-5931
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-24
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN59752207Q00000X
CAA150338207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0001-0207607OtherMEDICA
CA1689971814Medicaid
CA1689971814OtherNPI
MN1689971814OtherBCBS
MN1689971814Medicaid