NPIMap

Organization Active NPI

Elizabeth J Demagno, M.D., Apc

  • Pediatrics Physician
  • Barstow, CA
National Provider Identifier
1366797706
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A47902 Issued in CA
Legal business name
ELIZABETH J DEMAGNO, M.D., APC
Practice address
705 E Virginia Way
Suite a
Barstow, CA 92311-3955
Phone
(760) 256-2181
NPI assigned
Jul 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Authorized official

Name
Elizabeth J Demagno, MDNPI 1336245778
Title
President
Phone
(760) 256-2181

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 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 92311-3955
Phone (760) 256-2181

National Provider Directory

National Provider Directory

Locations

705 E Virginia Way
Ste A
Barstow, CA 92311
Phone (760) 256-2181

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": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1366797706",
    "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": "923113955",
            "telephone_number": "760-256-2181"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH J DEMAGNO, M.D., APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "DEMAGNO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-256-2181",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A47902",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 11, 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.