Active NPI
Elizabeth Jane Demagno, MD
- Neonatal-Perinatal Medicine Physician
- Barstow, CA
National Provider Identifier
1336245778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- A47902
- Practice address
- 705 E Virginia Way
Suite a
Barstow, CA 92311-3955 - Phone
- (760) 256-2181
- Fax
- (760) 256-2277
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | A47902 | CA | Primary |
Addresses
Primary practice location
705 E Virginia Way
Suite a
Barstow, CA 92311-3955
Mailing address
705 E Virginia Way
Suite a
Barstow, CA 92311-3978
Phone (760) 256-2181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A479020 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabeth J Demagno, M.D., Apc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Barstow, CA
- NPI 1366797706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460073600000",
"number": "1336245778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 E VIRGINIA WAY",
"address_2": "SUITE A",
"city": "BARSTOW",
"state": "CA",
"postal_code": "923113978",
"telephone_number": "760-256-2181",
"fax_number": "760-256-2277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 E VIRGINIA WAY",
"address_2": "SUITE A",
"city": "BARSTOW",
"state": "CA",
"postal_code": "923113955",
"telephone_number": "760-256-2181",
"fax_number": "760-256-2277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMAGNO",
"first_name": "ELIZABETH",
"middle_name": "JANE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2016-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "CA",
"license": "A47902",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A479020",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Barstow, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.