Provider Demographics
NPI:1013080845
Name:MC CAIN, NATALIE A (NP)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:A
Last Name:MC CAIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:3050 AIRPORT WAY
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806
Mailing Address - Country:US
Mailing Address - Phone:562-426-9661
Mailing Address - Fax:562-426-4227
Practice Address - Street 1:2850 6TH AVE
Practice Address - Street 2:STE 401
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-6308
Practice Address - Country:US
Practice Address - Phone:619-908-3075
Practice Address - Fax:619-908-3118
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA8879363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMR1379076OtherDEA