NPIMap

Individual provider Active NPI

Brian Magovern, MD

  • Orthopaedic Surgery Physician
  • Torrance, CA
National Provider Identifier
1386687606
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A103550 Issued in CA
Practice address
5215 Torrance Blvd Ste 210
Torrance, CA 90503-4009
Phone
(310) 316-6190
Fax
(310) 540-7362
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 036110354 IL
Orthopaedic Surgery Physician 207X00000X A103550 CA Primary

Addresses

Primary practice location

5215 Torrance Blvd Ste 210
Torrance, CA 90503-4009

Mailing address

5215 Torrance Blvd Ste 210
Torrance, CA 90503-4009
Phone (310) 316-6190

Other practice location 1

2200 E Maple Ave Ste 210
El Segundo, CA 90245-6507
Phone (310) 316-6190

Other identifiers 3

IdentifierTypeStateIssuer
1386687606OtherNPI
BH719WOtherCAMEDICARE PTAN
BH719ZOtherMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090209000549 CA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 3870591845 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Georgetown University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

5215 Torrance Blvd
Torrance, CA 90503-4009
Phone (310) 316-6190

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)88
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036110354ILMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Dec 21, 2009 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Aug 1, 2023 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Aug 1, 2023 Accepting new patients
County of Los Angeles CurrentSince Dec 21, 2009 Accepting new patients
Providence Medical Institute Orthopaedic Surgery CurrentSince Jul 30, 2009 Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Providence Health System Southern California Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Orthopaedic and Extremity Specialists Medical Group Inc Orthopaedic Surgery Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

2200 E Maple Ave
Ste 210
El Segundo, CA 90245
Phone (310) 316-6190

2200 E Maple Ave
El Segundo, CA 90245
Phone (310) 316-6190

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

5215 Torrance Blvd
Ste 210
Torrance, CA 90503
Phone (310) 316-6190

21311 Madrona Ave
Ste 100A
Torrance, CA 90503
Phone (310) 792-4400

5215 Torrance Blvd
Torrance, CA 90503
Phone (310) 316-6190

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: brian.magovernmd.p1@direct.bpasten.nextgenshare.com
  • Direct secure messaging: bmagovern221475@direct.cshs.org

Organizations & group practices 12

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1386687606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 TORRANCE BLVD STE 210",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034009",
            "telephone_number": "310-316-6190",
            "fax_number": "310-540-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 TORRANCE BLVD STE 210",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034009",
            "telephone_number": "310-316-6190",
            "fax_number": "310-540-7362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 E Maple Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "El Segundo",
            "state": "CA",
            "postal_code": "902456507",
            "country_code": "US",
            "telephone_number": "310-316-6190",
            "fax_number": "310-540-7362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGOVERN",
        "first_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036110354",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A103550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386687606",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BH719W",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BH719Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.