Active NPI
August J Maggio Jr., M.D.
- Urology Physician
- Tustin, CA
National Provider Identifier
1386640720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- G30074
- Practice address
- 2011 Munton Cir
Tustin, CA 92780-6734 - Phone
- (714) 323-5243
- NPI assigned
- Jun 21, 2005
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | G30074 | CA | Primary |
Addresses
Primary practice location
2011 Munton Cir
Tustin, CA 92780-6734
Mailing address
2011 Munton Cir
Tustin, CA 92780-6734
Phone (714) 323-5243
Other names 1
- Dr. August J. Maggio
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071009000537 | CA | Practitioner - Urology | 7517052392 | Practice locations: Tustin, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G30074 | CA | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711152000000",
"number": "1386640720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 MUNTON CIR",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806734",
"telephone_number": "714-323-5243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 MUNTON CIR",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806734",
"telephone_number": "714-323-5243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGGIO",
"first_name": "AUGUST",
"middle_name": "J",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2024-03-23",
"certification_date": "2024-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "G30074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AUGUST",
"last_name": "MAGGIO",
"middle_name": "J.",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2024; 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.