MRS. MEGAN ANNETTE MADDOCK PA-C
NPI 1790818383
Physician Assistant - Medical in Glendale, CA

Q: What is Megan Maddock's NPI number?

The NPI number for Megan Maddock is 1790818383. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Q: What is Megan Maddock's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Megan Maddock was last updated on July 8, 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 March 13, 2007PECOS Enrolled

1560 E CHEVY CHASE DR STE 320, GLENDALE, CA 91206(818) 243-2222(818) 243-2221 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Megan Annette Maddock Pa-c NPPES

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

MRS. MEGAN ANNETTE MADDOCK PA-C (NPI 1790818383) is an individual medical provider in Glendale, California, licensed in California (PA 17141) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790818383

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. MEGAN ANNETTE MADDOCKCredential: PA-C

Location Address1560 E CHEVY CHASE DR STE 320Glendale, CA 91206-4140

Mailing Address1560 E Chevy Chase Dr Ste 320Glendale, CA 91206-4140 · (818) 243-2222 · Fax (818) 243-2221

Phone(818) 243-2222

Fax(818) 243-2221

Sole ProprietorNo

Enumeration DateMarch 13, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1790818383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · PA 17141

1560 E CHEVY CHASE DR STE 320, Glendale, CA 91206

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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)

Mrs. Megan Annette Maddock 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.

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 Megan Maddock's NPI number?

The NPI number for Megan Maddock is 1790818383. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Megan Maddock located?

Megan Maddock practices at 1560 E Chevy Chase Dr Ste 320, Glendale, CA 91206. The listed phone number is (818) 243-2222.

What is Megan Maddock's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Megan Maddock enrolled in Medicare?

Yes. Megan Maddock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Megan Maddock was last updated on July 8, 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.