JONATHAN FREDERICK MACK N.P.
NPI 1922230747
Nurse Practitioner in San Diego, CA

Q: What is Jonathan Mack's NPI number?

The NPI number for Jonathan Mack is 1922230747. It was assigned to this individual provider in the NPPES registry on August 12, 2009.

Q: What is Jonathan Mack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Mack was last updated on August 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 August 12, 2009

6822 LAKE CT, SAN DIEGO, CA 92111(858) 229-7232 Get Directions Write a Review

NPPES record last updated: August 12, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Jonathan Frederick Mack N.p. NPPES

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

JONATHAN FREDERICK MACK N.P. (NPI 1922230747) is an individual nurse practitioner in San Diego, California, licensed in California (359079) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1922230747

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameJONATHAN FREDERICK MACKCredential: N.P.

Location Address6822 LAKE CTSan Diego, CA 92111-7023

Mailing Address6822 Lake CtSan Diego, CA 92111-7023 · (858) 229-7232

Phone(858) 229-7232

Sole ProprietorYes

Enumeration DateAugust 12, 2009

✔ NPI 1922230747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 359079

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 359079 (CA)

6822 LAKE CT, San Diego, CA 92111

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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 Jonathan Mack's NPI number?

The NPI number for Jonathan Mack is 1922230747. It was assigned to this individual provider in the NPPES registry on August 12, 2009.

Where is Jonathan Mack located?

Jonathan Mack practices at 6822 Lake Ct, San Diego, CA 92111. The listed phone number is (858) 229-7232.

What is Jonathan Mack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Jonathan Mack was last updated on August 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.