Individual provider Active NPI

Glenn Anthony Magarian, B.S.,D.C.

  • Chiropractor
  • Fountain Valley, CA
National Provider Identifier
1023318391
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
18517 Issued in CA
Practice address
11037 Warner Ave
Suite 333
Fountain Valley, CA 92708-4007
Phone
(714) 697-2225
Fax
(866) 871-1460
NPI assigned
Nov 2, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 18517 CA Primary

Addresses

Primary practice location

11037 Warner Ave
Suite 333
Fountain Valley, CA 92708-4007

Mailing address

11037 Warner Ave
Suite 333
Fountain Valley, CA 92708-4007
Phone (714) 697-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1023318391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11037 WARNER AVE",
            "address_2": "SUITE 333",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084007",
            "telephone_number": "714-697-2225",
            "fax_number": "866-871-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11037 WARNER AVE",
            "address_2": "SUITE 333",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084007",
            "telephone_number": "714-697-2225",
            "fax_number": "866-871-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGARIAN",
        "first_name": "GLENN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "B.S.,D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "18517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.