Individual provider Active NPI

Mylo H Magtoto, DC

  • Chiropractor
  • Oakland, CA
National Provider Identifier
1093714636
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28260 Issued in CA
Practice address
3318 Elm St Ste 2
Oakland, CA 94609-3013
Phone
(510) 654-8547
Fax
(510) 654-9247
NPI assigned
Jul 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC28260 CA Primary

Addresses

Primary practice location

3318 Elm St Ste 2
Oakland, CA 94609-3013

Mailing address

3318 Elm St Ste 2
Oakland, CA 94609-3013
Phone (510) 654-8547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120823000638 CA Practitioner - Chiropractic 0547417776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Healing Hands ChiropracticGroup PAC ID 7214184407, 2 clinicians

Practice addresses (Care Compare)

3318 Elm St
Suite 2
Oakland, CA 94609-3013
Phone (510) 654-8457

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC28260CAMDChiropractor
28260CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mylo Magtoto Chiropractor Current Accepting new patients
Earl L. Holloway, M.D., Inc CurrentSince Mar 21, 2021 Accepting new patients

Locations

3318 Elm St
Ste 2
Oakland, CA 94609
Phone (510) 654-7525

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1093714636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3318 ELM ST STE 2",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093013",
            "telephone_number": "510-654-8547",
            "fax_number": "510-654-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3318 ELM ST STE 2",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093013",
            "telephone_number": "510-654-8547",
            "fax_number": "510-654-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGTOTO",
        "first_name": "MYLO",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.