Larry Norman Magnussen, MD

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

G10995 Issued in CA

Practice address

1 Daniel Burnham CT Ste 365-C
San Francisco, CA 94109-5490

Phone

(415) 202-1920

Fax

(415) 922-6344

NPI assigned

Dec 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1093877896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 LAWAIUKA ROAD",
            "city": "LAWAI",
            "state": "HI",
            "postal_code": "96765",
            "telephone_number": "808-332-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DANIEL BURNHAM CT STE 365-C",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095490",
            "telephone_number": "415-202-1920",
            "fax_number": "415-922-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNUSSEN",
        "first_name": "LARRY",
        "middle_name": "NORMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "G10995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G10995",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Jeans Maglaque, PT, DPT, OCS
• Mai Sorrel Magliocco, MD
• Annmarie Magnasco, PHARMD
• Arlene Magno
• Samuel Oliver Magnus, D.C.
• Freya Magnusson, CMT, CPT
• Mary Rose Alba Magsaysay-Guinto
• Rachelle Joy De Eyoy Magtanong-Madrid, DDS
• Rochelle Magtibay
• Shira Maguen, PH.D.

• Legal Medicine in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Legal Medicine in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.