Active NPI
Kathy Elizabeth Magliato, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Santa Monica, CA
National Provider Identifier
1174629455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- G085331
- Practice address
- 1328 22ND Street
Saint Johns Health Center
Santa Monica, CA 90405 - Phone
- (310) 829-8618
- Fax
- (310) 829-8607
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | G085331 | CA | Primary |
Addresses
Primary practice location
1328 22ND Street
Saint Johns Health Center
Santa Monica, CA 90405
Mailing address
1328 22ND Street
Saint Johns Health Center
Santa Monica, CA 90405
Phone (310) 829-8618
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G853310 | Medicaid | CA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85331 | CA | MD | Clinical Social Worker |
| G085331 | CA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174629455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1328 22ND STREET",
"address_2": "SAINT JOHNS HEALTH CENTER",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "90405",
"telephone_number": "310-829-8618",
"fax_number": "310-829-8607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1328 22ND STREET",
"address_2": "SAINT JOHNS HEALTH CENTER",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "90405",
"telephone_number": "310-829-8618",
"fax_number": "310-829-8607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGLIATO",
"first_name": "KATHY",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "CA",
"license": "G085331",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G853310",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
- Rochelle Leonardo Maghirang, CPHT
- Margarita Maghtesyan, PMHNP-BC
- Emily Magid, IBCLC, MPH, MSW
- Valerie Magill, NPC
- Steven Paul Magit, MA MFC
- Marguerite Maguire, M.D.
- Roger J. Mah, M.D.
- Walcharee Cindy Mahamitra, D.O.
- Michelle Mahanian Oheb, M.D.
- Mahasty Mahooty Rdhap Healthy Smiles of California Dental Hygiene, Inc
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.