Magella Medical Group, Inc.

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

Legal business name

MAGELLA MEDICAL GROUP, INC.

Practice address

2888 Long Beach Blvd Ste 400
Long Beach, CA 90806-1553

Phone

(562) 997-8510

Fax

(562) 997-8520

NPI assigned

Sep 17, 2006

Last updated

Oct 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael R Santana

Title

Assistant Secretary

Phone

(800) 243-3839

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 253

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Soodabeh Abravesh, M.D.

  • Obstetrics & Gynecology Physician
  • Mission Viejo, CA
  • NPI 1376785865
  Medicare reassignment Care Compare group NPD
• Yekaterina A Bakhta, MD

  • Obstetrics & Gynecology Physician
  • Pasadena, CA
  • NPI 1164784195
  Medicare reassignment Care Compare group NPD
• Duane Buringrud

  • Obstetrics & Gynecology Physician
  • Escondido, CA
  • NPI 1215971999
  Medicare reassignment Care Compare group NPD
• Kenneth Kai Hei Chan, M.D.

  • Maternal & Fetal Medicine Physician
  • Long Beach, CA
  • NPI 1649236480
  Medicare reassignment Care Compare group NPD
• Michael Crade, M.D.

  • Diagnostic Ultrasound Physician
  • Long Beach, CA
  • NPI 1295841930
  Medicare reassignment Care Compare group NPD
• Lisa M Delong, M.D.

  • Obstetrics & Gynecology Physician
  • Long Beach, CA
  • NPI 1255338604
  Medicare reassignment Care Compare group NPD
• Danette H. Doan, MD

  • Obstetrics & Gynecology Physician
  • Stockton, CA
  • NPI 1912085598
  Medicare reassignment Care Compare group NPD
• Neel Subramanian Iyer, DO

  • Maternal & Fetal Medicine Physician
  • Long Beach, CA
  • NPI 1689235418

  Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Dustin Raymond Kocol, MD

  • Obstetrics & Gynecology Physician
  • Oceanside, CA
  • NPI 1487141586
  Medicare reassignment Care Compare group NPD
• Zoe Vanessa Kornberg, MD, MPH

  • Obstetrics Physician
  • Torrance, CA
  • NPI 1700415577

  Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Saurabh Kumar, M.D.

  • Obstetrics & Gynecology Physician
  • Sacramento, CA
  • NPI 1114160603
  Medicare reassignment Care Compare group NPD
• Megan Chinen Oakes, MD

  • Obstetrics & Gynecology Physician
  • Long Beach, CA
  • NPI 1811377195
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1376640086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CONCORD TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232843",
            "telephone_number": "800-243-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 LONG BEACH BLVD STE 400",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061553",
            "telephone_number": "562-997-8510",
            "fax_number": "562-997-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGELLA MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "800-243-3839"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maged a. Tanios, MD, Inc
• Maged Zaky Nessim
• Hadiya Magee
• Nina Magee
• Zachary Magee, MSW
• Alec Maggi, MD
• Juan Carlos Maggi, M.D.
• Fariba Maghoul, FNP
• Jill Magilio
• Gina Marie Eugenio Maglanoc

• Maternal & Fetal Medicine Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Maternal & Fetal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.