DR. JILL DOUGAL MACKINNON M.D.
NPI 1134201627
Neuromusculoskeletal Medicine & OMM in Berkeley, CA

Q: What is Jill Mackinnon's NPI number?

The NPI number for Jill Mackinnon is 1134201627. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Q: What is Jill Mackinnon's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Q: When was this NPI record last updated?

The NPPES record for Jill Mackinnon was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 20, 2006PECOS Enrolled

2001 DWIGHT WAY, 2ND FLOOR - ROOM # 2350, BERKELEY, CA 94704(510) 204-4738(510) 204-5892 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Jill Dougal Mackinnon M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JILL DOUGAL MACKINNON M.D. (NPI 1134201627) is an individual neuromusculoskeletal medicine & omm provider in Berkeley, California, licensed in California (G67976) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134201627

Entity TypeIndividualFemale

Primary Taxonomy204D00000X

Provider Legal NameDR. JILL DOUGAL MACKINNONCredential: M.D.

Location Address2001 DWIGHT WAY, 2ND FLOOR - ROOM # 2350Berkeley, CA 94704-2608

Mailing Address2001 Dwight Way, 2nd Floor - Room # 2350Berkeley, CA 94704-2608 · (510) 204-4738 · Fax (510) 204-5892

Phone(510) 204-4738

Fax(510) 204-5892

Sole ProprietorYes

Enumeration DateOctober 20, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1134201627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians

Taxonomy Code204D00000X

License✔ Licensed in CA · G67976

Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

2001 DWIGHT WAY, Berkeley, CA 94704

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Other Identifiers 2

Other00G679760CA · Medi-cal

Medicare UPINF35552CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jill Dougal Mackinnon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANTHONY ADRIAN RIENZI M.D.

Psychiatry & Neurology (Psychiatry)

2001 DWIGHT WAY, SUITE 4190
BERKELEY, CA 94704

Alameda County (510) 204-4635

LINDSEY OLANDER

Speech-Language Pathologist

2001 DWIGHT WAY
BERKELEY, CA 94704

Alameda County (510) 204-1205

DR. DAIANA J HARPER M.D.

Psychiatry & Neurology (Psychiatry)

2001 DWIGHT WAY, SUITE 4190
BERKELEY, CA 94704

Alameda County (510) 204-4635

NORTHERN CALIFORNIA HEMATOLOGY AND ONCOLOGY CONSULTANTS, INC

Internal Medicine (Hematology & Oncology)

2001 DWIGHT WAY
BERKELEY, CA 94704

Alameda County (510) 204-6402

MS. PAMELA NICOLE PETERS

Obstetrics & Gynecology

2001 DWIGHT WAY
BERKELEY, CA 94704

Alameda County (510) 204-4444

DR. PATRICK SWIFT M.D.

Radiology (Radiation Oncology)

2001 DWIGHT WAY
BERKELEY, CA 94704

Alameda County (510) 204-2462

CENTER FOR HEALTH & INDEPENDENCE REHAB INC

Physical Medicine & Rehabilitation

2001 DWIGHT WAY, ROOM 2350
BERKELEY, CA 94704

Alameda County (510) 964-0458

CYNTHIA PEERY PTA

Physical Therapy Assistant

2001 DWIGHT WAY
BERKELEY, CA 94704

Alameda County (510) 204-4444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jill Mackinnon's NPI number?

The NPI number for Jill Mackinnon is 1134201627. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Jill Mackinnon located?

Jill Mackinnon practices at 2001 Dwight Way 2nd Floor - Room # 2350, Berkeley, CA 94704. The listed phone number is (510) 204-4738.

What is Jill Mackinnon's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Jill Mackinnon enrolled in Medicare?

Yes. Jill Mackinnon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jill Mackinnon was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.