RON ALAN MACNUTT PA-C
NPI 1205074622
Physician Assistant - Surgical in San Diego, CA

Active since January 22, 2009PECOS Enrolled
8929 UNIVERSITY CENTER LN, SUITE 201, SAN DIEGO, CA 92122(858) 450-4199 Get Directions Write a Review

NPPES record last updated: July 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ron Alan Macnutt Pa-c NPPES

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

RON ALAN MACNUTT PA-C (NPI 1205074622) is an individual surgical provider in San Diego, California, licensed in California (PA17570) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205074622
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameRON ALAN MACNUTTCredential: PA-C
Location Address8929 UNIVERSITY CENTER LN, SUITE 201San Diego, CA 92122-1006
Mailing Address3750 Convoy St, Ste 201San Diego, CA 92111-3770 · (858) 278-8300 · Fax (858) 569-1337
Sole ProprietorNo
Enumeration DateJanuary 22, 2009
Last NPPES UpdateJuly 10, 2017
NPI 1205074622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CA · PA17570
8929 UNIVERSITY CENTER LN, San Diego, CA 92122

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ron Alan Macnutt Pa-c 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.

Physician Assistant (Medical)
8929 UNIVERSITY CENTER LN, STE 202
SAN DIEGO, CA 92122
Internal Medicine (Pulmonary Disease)
8929 UNIVERSITY CENTER LN, SUITE 100
SAN DIEGO, CA 92122
Physical Therapist
8929 UNIVERSITY CENTER LN, 200
SAN DIEGO, CA 92122
Clinic/Center (Ambulatory Surgical)
8929 UNIVERSITY CENTER LN, SUITE 103
SAN DIEGO, CA 92122
Massage Therapist
8929 UNIVERSITY CENTER LN, SUITE 200
SAN DIEGO, CA 92122
Psychiatry & Neurology (Neurology)
8929 UNIVERSITY CENTER LN, 207
SAN DIEGO, CA 92122
Clinic/Center (Occupational Medicine)
8929 UNIVERSITY CENTER LN, #100
SAN DIEGO, CA 92122
Radiology (Diagnostic Radiology)
8929 UNIVERSITY CENTER LN, 101
SAN DIEGO, CA 92122

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 Ron Macnutt's NPI number?

The NPI number for Ron Macnutt is 1205074622. It was assigned to this individual provider in the NPPES registry on January 22, 2009.

Where is Ron Macnutt located?

Ron Macnutt practices at 8929 University Center Ln Suite 201, San Diego, CA 92122. The listed phone number is (858) 450-4199.

What is Ron Macnutt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Ron Macnutt enrolled in Medicare?

Yes. Ron Macnutt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ron Macnutt was last updated on July 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.