Individual ProviderErnest Daniel MackeyPediatricsAllopathic & Osteopathic PhysiciansPractice Address13132 Newport Ave, 100, Tustin, CA 92780-3429(714) 565-7960PECOS EnrollmentBased on the most recent information from CMS, provider Ernest Daniel Mackey does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1326017690Provider TypeIndividualFull NameMackey, Ernest DanielTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date3/17/2006Last Updated1/4/2011Contact InformationPractice LocationPractice Address13132 Newport Ave, 100, Tustin, CA 92780-3429Phone(714) 565-7960Fax(714) 565-7982Mailing LocationMailing Address13132 Newport Ave, 100, Tustin, CA 92780-3429Phone(714) 565-7960Fax(714) 565-7982Provider TaxonomiesCodeDescriptionLicenseCode2080A0000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseA61274CaliforniaCode208000000XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseA61274California