Active NPI
Dexter Maganda
- Physical Therapist
- Lancaster, CA
National Provider Identifier
1154525889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 29098
- Practice address
- 412 W Avenue J
Lancaster, CA 93534-3685 - Phone
- (661) 945-0884
- Fax
- (661) 942-9714
- NPI assigned
- Jun 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 29098 | CA | Primary |
Addresses
Primary practice location
412 W Avenue J
Lancaster, CA 93534-3685
Mailing address
24 Hammond Ste C
Irvine, CA 92618-1680
Phone (949) 770-6022
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29098 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A&G Health Services, Inc | Physical Therapist | Past | Accepting new patients |
| A&G Health Services, Inc. | Past | Accepting new patients | |
| Imperial Burbank Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Los Angeles, CA
- NPI 1598791972
-
- Physical Therapy Clinic/Center
- Rosemead, CA
- NPI 1881873701
-
- Physical Therapist
- Burbank, CA
- NPI 1336250992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154525889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 HAMMOND STE C",
"city": "IRVINE",
"state": "CA",
"postal_code": "926181680",
"telephone_number": "949-770-6022",
"fax_number": "949-770-7084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 W AVENUE J",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935343685",
"telephone_number": "661-945-0884",
"fax_number": "661-942-9714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGANDA",
"first_name": "DEXTER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "29098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.