Individual provider Active NPI

Steven Joseph Magallanes Jr., D.C.

  • Chiropractor
  • Fresno, CA
National Provider Identifier
1407055627
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25080 Issued in CA
Practice address
524 S Clovis Ave
Suite J
Fresno, CA 93727-4529
Phone
(559) 456-0263
Fax
(888) 214-8287
NPI assigned
Jul 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC25080 CA Primary

Addresses

Primary practice location

524 S Clovis Ave
Suite J
Fresno, CA 93727-4529

Mailing address

524 S Clovis Ave
Suite J
Fresno, CA 93727-4529
Phone (559) 456-0263

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

State licenses

LicenseStateTypeSpecialty
DC25080CAMDChiropractor
25080CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
United Health Centers of the San Joaquin Valley Past Accepting new patients
Magallanes Chiropractic Group Inc Chiropractor PastSince Jan 1, 1990 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: steven.magallanes.1@17661.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1407055627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 S CLOVIS AVE",
            "address_2": "SUITE J",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937274529",
            "telephone_number": "559-456-0263",
            "fax_number": "888-214-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 S CLOVIS AVE",
            "address_2": "SUITE J",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937274529",
            "telephone_number": "559-456-0263",
            "fax_number": "888-214-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGALLANES",
        "first_name": "STEVEN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.