Individual provider Active NPI

Peter Tod Magnusson, M.D.

  • Cardiovascular Disease Physician
  • Chico, CA
National Provider Identifier
1164595914
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G21743 Issued in CA
Practice address
185 E 7TH Ave Ste C
Suite C
Chico, CA 95926-3356
Phone
(530) 893-4393
Fax
(530) 893-1543
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G21743 CA Primary

Addresses

Primary practice location

185 E 7TH Ave Ste C
Suite C
Chico, CA 95926-3356

Mailing address

185 E 7TH Ave Ste C
Suite C
Chico, CA 95926-3356
Phone (530) 893-4393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070524000339 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7416054580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enloe Medical CenterGroup PAC ID 9739092388, 330 clinicians

Practice addresses (Care Compare)

1531 Esplanade
Chico, CA 95926-3310
Phone (530) 332-5557

185 E 7TH Ave
Chico, CA 95926-3356
Phone (530) 332-4400

Hospital & facility affiliations

  • Enloe Health Hospital, Chico, CA, CCN 050039
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030
  • Adventist Health Clearlake Hospital, Clearlake, CA, CCN 051317
  • Seneca District Hospital Hospital, Chester, CA, CCN 051327
  • Colusa Medical Center Hospital, Colusa, CA, CCN 050783

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
60.52
Promoting interoperability
100
Improvement activities
40
Cost
68.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G21743CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Medical Center CurrentSince Jan 1, 2008 Accepting new patients
Enloe Medical Center Cardiovascular Disease CurrentSince Jan 1, 2008 Accepting new patients
Enloe Medical Center Current Accepting new patients
Enloe Medical Center Past Accepting new patients

Locations

1390 E Lassen Ave
Chico, CA 95973
Phone (530) 332-6332

185 E 7th Ave
Chico, CA 95926
Phone (530) 332-4400

185 E 7th Ave
Ste C
Chico, CA 95926
Phone (530) 343-0200

Interoperability endpoints

  • Direct secure messaging: pmagnusson15335@enloedirect.org

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1164595914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 E 7TH AVE STE C",
            "address_2": "SUITE C",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263356",
            "telephone_number": "530-893-4393",
            "fax_number": "530-893-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 E 7TH AVE STE C",
            "address_2": "SUITE C",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263356",
            "telephone_number": "530-893-4393",
            "fax_number": "530-893-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNUSSON",
        "first_name": "PETER",
        "middle_name": "TOD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G21743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.