Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

M a C T Health Board, Incorporated

Organization Dentist · NPI 1528508488

M a C T Health Board, Incorporated is a Dentist in San Andreas, California. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
4
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Practice location Address checks out

1113A Highway 49
San Andreas, CA 95249
Phone: (209) 755-1460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Dentist Taxonomy 122300000X
Optometrist Taxonomy 152W00000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1528508488
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Alexander — Executive Director · (209) 754-6258
NPI enumeratedFebruary 27, 2017
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025
Mailing addressPo Box 939, Angels Camp, CA 95222-0939

Other providers in San Andreas