Peggy G Magnusson DPM Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

PEGGY G MAGNUSSON DPM INC

Practice address

2850 Artesia Blvd Ste 204
Redondo Beach, CA 90278-3413

Phone

(424) 257-5241

Fax

(866) 257-3292

NPI assigned

Mar 6, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Peggy Gray Magnusson, DPMNPI 1619002821

Title

Director

Phone

(310) 245-2789

Specialties & licenses 1

Addresses

Other names 1

• Foot Care at Home, Inc Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peggy Gray Magnusson, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Redondo Beach, CA
  • NPI 1619002821
  NPD Authorized official

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1245798446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 ARTESIA BLVD STE 204",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783413",
            "telephone_number": "424-257-5241",
            "fax_number": "866-257-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 ARTESIA BLVD STE 204",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783413",
            "telephone_number": "424-257-5241",
            "fax_number": "866-257-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGGY G MAGNUSSON DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "MAGNUSSON",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "GRAY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-245-2789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Care at Home, Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Foot Care at Home, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Foot & Ankle Surgery Podiatrist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.