Individual provider Active NPI

Daniel Magliozzi, MD

  • Addiction Psychiatry Physician
  • Tacoma, WA
National Provider Identifier
1003236761
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
MD60767812 Issued in WA
Practice address
VA American Lake 9600 Veterans Drive Southwest
Tacoma, WA 98493-6560
Phone
(215) 589-3937
NPI assigned
Apr 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X MD60767812 WA Primary

Addresses

Primary practice location

VA American Lake 9600 Veterans Drive Southwest
Tacoma, WA 98493-6560

Mailing address

VA American Lake 9600 Veterans Drive Southwest
Tacoma, WA 98493-0003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1003236761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VA AMERICAN LAKE 9600 VETERANS DRIVE SOUTHWEST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984930003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA AMERICAN LAKE 9600 VETERANS DRIVE SOUTHWEST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984936560",
            "telephone_number": "215-589-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGLIOZZI",
        "first_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-22",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "WA",
            "license": "MD60767812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.