Magnolia 9 LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MAGNOLIA 9 LLC

Practice address

14550 Magnolia St Ste 101
Westminster, CA 92683-5586

Phone

(402) 250-8989

Fax

(714) 475-2746

NPI assigned

Nov 12, 2024

Last updated

Nov 12, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

MAGNOLIA 9 LLCAs reported in NPPES

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

Authorized official

Name

James Sewell

Title

Ceo

Phone

(402) 250-8989

Specialties & licenses 1

Addresses

Tax ID family

Magnolia 9 LLC2 organizations share this tax ID, including this one

Part of

Magnolia 9 LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Magnolia 9 LLC

  dba Magnolia 9

  • Substance Abuse Rehabilitation Facility
  • Garden Grove, CA
  • NPI 1275355885
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Magnolia 9 LLC

  dba Magnolia 9

  • Substance Abuse Rehabilitation Facility
  • Garden Grove, CA
  • NPI 1275355885
  NPPES parent name

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1275357725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 KALMUS DR STE A203",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265999",
            "telephone_number": "402-250-8989",
            "fax_number": "714-475-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14550 MAGNOLIA ST STE 101",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835586",
            "telephone_number": "402-250-8989",
            "fax_number": "714-475-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA 9 LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAGNOLIA 9 LLC",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "SEWELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-250-8989"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khai Minh Ma, D.D.S
• Cathy Mach, PHARMD
• Shoaib Madar, DPT
• Rebekah Mader
• Benjamin Magno, O.D.
• Magnolia Acupuncture, Inc. (Urban Tree Acupuncture)
• Magnolia Adult Day Health Care, Inc. (ABC Westminster Adult Day Health Care)
• Magnolia Educational and Research Foundation
• Magnolia Eye Care Medical Center, Inc
• Magnolia Medical Imaging Center Inc a Medical Group

• Mental Health Clinic/Center (Including Community Mental Health Center) in Westminster, CA
• Providers in Westminster, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.