Jinno Antonio Magno, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A1166511 Issued in CA

Practice address

43563 State Highway 299 E
Fall River Mills, CA 96028-9787

Phone

(530) 336-5511

NPI assigned

Mar 20, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mayers Memorial Hospital District

  • Critical Access Hospital
  • Fall River Mills, CA
  • NPI 1912125667
  Medicare reassignment NPD
• Mayers Memorial Hospital District

  • Skilled Nursing Facility
  • Fall River Mills, CA
  • NPI 1386763456
  NPD (past)

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1306340807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43563 STATE HIGHWAY 299 E",
            "city": "FALL RIVER MILLS",
            "state": "CA",
            "postal_code": "960289787",
            "telephone_number": "530-336-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43563 STATE HIGHWAY 299 E",
            "city": "FALL RIVER MILLS",
            "state": "CA",
            "postal_code": "960289787",
            "telephone_number": "530-336-5511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4860 Y St Ste 1600",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958172307",
            "country_code": "US",
            "telephone_number": "916-734-3630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGNO",
        "first_name": "JINNO",
        "middle_name": "ANTONIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A1166511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fall River Fire District
• Heidi Fletcher, RPH
• Lindsay Frye, DO
• Kathryn Mari Lin Kincel, PAC
• Emily A Lieuallen, DO
• Michael S Maier, DC
• Lani Martin, RD
• Mayers Memorial Hospital District
• Mayers Memorial Hospital District
• Mayers Memorial Hospital District

• Family Medicine Physician in Fall River Mills, CA
• Providers in Fall River Mills, CA by specialty
• Family Medicine Physician in California

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

Verify at the official NPI Registry.