Active NPI
Patrick Magno, DPT
- Physical Medicine & Rehabilitation Physician
- Tustin, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 294060
- Practice address
- 14332 Cherrywood LN
Tustin, CA 92780-6946 - Phone
- (650) 445-2542
- NPI assigned
- Nov 21, 2017
- Last updated
- Mar 23, 2023
- 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 Medicine & Rehabilitation Physician | 208100000X | 294060 | CA | Primary |
Addresses
Primary practice location
14332 Cherrywood LN
Tustin, CA 92780-6946
Mailing address
14332 Cherrywood LN
Tustin, CA 92780-6946
Phone (650) 445-2542
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Univ of Calif, Los Angeles School of Dentistry, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Tustin, CA 92780
Phone (650) 445-2542
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 294060 | CA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Activbody Physical Therapy Inc | Current | Accepting new patients | |
| Magno Physical Therapy | Current | Accepting new patients | |
| California Luna Care Physical Therapy PC | Current | Accepting new patients | |
| Mesisca Physical Therapy Inc | Current | Accepting new patients | |
| W. Seth Bolling, MD, Inc | Past | Accepting new patients | |
| JM Physical Therapy Inc | Past | Accepting new patients |
Locations
19531 Beach Blvd
Huntington Beach, CA 92648
Phone (714) 960-7995
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 409-4167
1860 N Tustin St
Orange, CA 92865
Phone (714) 998-8403
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Tustin, CA
- NPI 1245963990
-
- Physical Therapist
- Huntington Beach, CA
- NPI 1114950557
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
- Geriatric Physical Therapist
- Laguna Niguel, CA
- NPI 1821104472
-
- Physical Therapist
- Laguna Niguel, CA
- NPI 1558658336
-
- Orthopaedic Surgery Physician
- Beverly Hills, CA
- NPI 1366688756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679529600000",
"number": "1225542640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14332 CHERRYWOOD LN",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806946",
"telephone_number": "650-445-2542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14332 CHERRYWOOD LN",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806946",
"telephone_number": "650-445-2542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGNO",
"first_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-21",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "294060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.