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

Justen David Mackenroth

Individual provider Case Manager/Care Coordinator · NPI 1164149670

Justen David Mackenroth is a Case Manager/Care Coordinator in Ceres, California. Works from 4 locations. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

3607 Blaker Rd
Ceres, CA 95307-9503
Phone: (209) 531-1783
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3212 Uranus Dr, Ceres, CA 95307-3010 — (209) 538-4038
  • 2528 Leslie Ln, Ceres, CA 95307-2326 — (209) 538-7331
  • 1708 Banyan Ct, Ceres, CA 95307-1907 — (209) 538-1888

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1164149670
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 25, 2022
Last updated in NPPESOctober 12, 2023
Certification dateOctober 12, 2023

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