Organization Active NPI

Magnolia Hope Foundation

  • Rehabilitation Clinic/Center
  • Lakewood, CA
National Provider Identifier
1033905476
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
MAGNOLIA HOPE FOUNDATION
Practice address
4115 South St
Lakewood, CA 90712-1043
Phone
(562) 780-6532
Fax
(310) 438-2105
NPI assigned
Apr 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Mrs. Rocio Mallari
Title
Ceo
Phone
(562) 774-5732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

4115 South St
Lakewood, CA 90712-1043

Mailing address

16958 Sierra Vista Way
Cerritos, CA 90703-1844
Phone (562) 774-5732

Other names 1

  • Magnolia Support Center Other name

National Provider Directory

National Provider Directory

Locations

4115 South St
Lakewood, CA 90712
Phone (562) 408-1140

13055 Rosecrans Ave
Santa Fe Springs, CA 90670

6921 Cerritos Ave
Stanton, CA 90680

NPI Registry JSON

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1033905476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16958 SIERRA VISTA WAY",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907031844",
            "telephone_number": "562-774-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 SOUTH ST",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121043",
            "telephone_number": "562-780-6532",
            "fax_number": "310-438-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA HOPE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "MALLARI",
        "authorized_official_first_name": "ROCIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-774-5732",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Support Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Magnolia Support Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.