| Clancy Mccarty, CNM, RN | |
|
1416 El Centro St Ste 100, South Pasadena, CA 91030-3202 | |
| (626) 399-0649 | |
| Not Available |
| Full Name | Clancy Mccarty |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 1416 El Centro St Ste 100, South Pasadena, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619710530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WM0102X | Registered Nurse - Maternal Newborn | 95224570 (California) | Secondary |
| 367A00000X | Advanced Practice Midwife | 236456 (California) | Primary |
| Entity Name | Community Memorial Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215903018 PECOS PAC ID: 9537155676 Enrollment ID: O20040422001668 |
| Mailing Address | Practice Location Address |
|---|---|
| Clancy Mccarty, CNM, RN 1621 Silverwood Ter, Los Angeles, CA 90026-1447 Ph: (310) 780-1094 | Clancy Mccarty, CNM, RN 1416 El Centro St Ste 100, South Pasadena, CA 91030-3202 Ph: (626) 399-0649 |
Jennifer Buchanan, CNM, WHNP-BC, IBCLC Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1416 El Centro St, Suite 100, South Pasadena, CA 91030 Phone: 626-577-2229 | |
Erin M De Tura, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1416 El Centro St Ste 100, South Pasadena, CA 91030 Phone: 626-577-2229 |