Active NPI
Ernesto E. Magdaleno, P.A.
- Medical Physician Assistant
- Pico Rivera, CA
National Provider Identifier
1285921700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA20960
- Practice address
- 8610 Whittier Blvd
Pico Rivera, CA 90660-2655 - Phone
- (562) 354-5847
- NPI assigned
- Jul 5, 2011
- Last updated
- Aug 18, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA20960 | CA | Primary |
Addresses
Primary practice location
8610 Whittier Blvd
Pico Rivera, CA 90660-2655
Mailing address
8610 Whittier Blvd
Pico Rivera, CA 90660-2655
Phone (562) 354-5847
Other practice location 1
9201 Whittier Blvd
Pico Rivera, CA 90660-2450
Phone (562) 692-0400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20960 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| PA20960 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cure4Feet Podiatry Group Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Physician
- Pico Rivera, CA
- NPI 1518684695
-
- Foot & Ankle Surgery Podiatrist
- North Hollywood, CA
- NPI 1104149269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1285921700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8610 WHITTIER BLVD",
"city": "PICO RIVERA",
"state": "CA",
"postal_code": "906602655",
"telephone_number": "562-354-5847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8610 WHITTIER BLVD",
"city": "PICO RIVERA",
"state": "CA",
"postal_code": "906602655",
"telephone_number": "562-354-5847"
}
],
"practiceLocations": [
{
"address_1": "9201 Whittier Blvd",
"address_purpose": "LOCATION",
"city": "Pico Rivera",
"state": "CA",
"postal_code": "906602450",
"country_code": "US",
"telephone_number": "562-692-0400",
"fax_number": "562-205-1555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAGDALENO",
"first_name": "ERNESTO",
"middle_name": "E.",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-05",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA20960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pico Rivera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.