Madison Tucker Zagurski, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

2 W Fern Ave
Redlands, CA 92373-5916

Phone

(909) 792-2605

NPI assigned

Sep 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: mzagurski11243@epiclp.direct-ci.com

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1013426154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WEST FERN AVENUE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "92373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W FERN AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735916",
            "telephone_number": "909-792-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAGURSKI",
        "first_name": "MADISON",
        "middle_name": "TUCKER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mceleste1188270@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "24833 Del Prado",
            "city": "Dana Point",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926292852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mceleste1188270@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2500 E Imperial Hwy Ste 110",
            "city": "Brea",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928216115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mceleste1188270@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "25612 Crown Valley Pkwy Ste L-5",
            "city": "Ladera Ranch",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926940476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mceleste1188270@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "26012 Marguerite Pkwy Ste H",
            "city": "Mission Viejo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926923263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mceleste1188270@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1538 E Chapman Ave",
            "city": "Orange",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928662231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Medical Physician Assistant in Redlands, CA
• Providers in Redlands, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.