DR. PORSHIA MACK M.D.
NPI 1720124555
Pediatrics in Hayward, CA

Q: What is Porshia Mack's NPI number?

The NPI number for Porshia Mack is 1720124555. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Q: What is Porshia Mack's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Porshia Mack was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 January 29, 2007PECOS Enrolled

22331 MISSION BLVD, HAYWARD, CA 94541(510) 471-5880 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Porshia Mack M.d. NPPES

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

DR. PORSHIA MACK M.D. (NPI 1720124555) is an individual pediatrics provider in Hayward, California, licensed in California (A88058) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720124555

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. PORSHIA MACKCredential: M.D.

Location Address22331 MISSION BLVDHayward, CA 94541-3911

Mailing Address22331 Mission BlvdHayward, CA 94541-3911 · (510) 471-5880

Phone(510) 471-5880

Sole ProprietorYes

Enumeration DateJanuary 29, 2007

Last NPPES UpdateJanuary 6, 2022

NPPES CertifiedJanuary 6, 2022

✔ NPI 1720124555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in CA · A88058✔ Licensed in NY · 231308

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

22331 MISSION BLVD, Hayward, CA 94541

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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. Porshia Mack 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94541 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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