Organization Active NPI

Dr Peggy G Magnusson

  • Durable Medical Equipment & Medical Supplies
  • Redondo Beach, CA
National Provider Identifier
1275726499
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
E2343 Issued in CA
Legal business name
DR PEGGY G MAGNUSSON
Practice address
2850 Artesia Blvd
#204
Redondo Beach, CA 90278-3419
Phone
(310) 545-9445
Fax
(310) 545-4998
NPI assigned
Aug 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Authorized official

Name
Dr. Peggy G Magnusson, D.P.M.NPI 1619002821
Title
Owner
Phone
(310) 545-9445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X E2343 CA Primary

Addresses

Primary practice location

2850 Artesia Blvd
#204
Redondo Beach, CA 90278-3419

Mailing address

2850 Artesia Blvd
#204
Redondo Beach, CA 90278-3419
Phone (310) 545-9445

Other names 1

  • Manhattan Beach Foot & Ankle Doing business as

National Provider Directory

National Provider Directory

Locations

2850 Artesia Blvd
Ste 204
Redondo Beach, CA 90278
Phone (310) 214-9700

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1275726499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 ARTESIA BLVD",
            "address_2": "#204",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783419",
            "telephone_number": "310-545-9445",
            "fax_number": "310-545-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 ARTESIA BLVD",
            "address_2": "#204",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783419",
            "telephone_number": "310-545-9445",
            "fax_number": "310-545-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PEGGY G MAGNUSSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "MAGNUSSON",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-545-9445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "E2343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manhattan Beach Foot & Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.