Larisa Magid, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA17018 Issued in CA

Practice address

18376 Clark St
Tarzana, CA 91356-3502

Phone

(818) 996-4077

Fax

(818) 996-4069

NPI assigned

Feb 28, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: larisa.magid.p1@direct.ccchcenter.nextgenshare.com
• Direct secure messaging: larisa.magid.p1@direct.rtmc.nextgenshare.com

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.

• Complete Care Community Health Center, Inc

  • PACE Provider Organization
  • Los Angeles, CA
  • NPI 1215113964
  Medicare reassignment NPD
• Complete Care Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Visalia, CA
  • NPI 1316729403
  NPD
• Andrew I Spitzer, MD Inc

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
  • NPI 1205008265
  NPD (past)
• Four M Medical Mart a Medical Corporation

  dba San Miguel Occupational & Urgent Care Medical Group Inc

  • Occupational Medicine Physician
  • North Hollywood, CA
  • NPI 1447381736
  NPD (past)
• Mahfouz M. Michael,M.D.,Inc.

  dba Clinica Medica San Miguel

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1093934986
  NPD (past)
• Mahfouz M. Michael,M.D.,Inc.

  dba Clinica Medica San Miguel

  • Internal Medicine Physician
  • San Fernando, CA
  • NPI 1609095587
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1407984842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10906 WRIGHTWOOD LN",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916043954",
            "telephone_number": "310-429-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18376 CLARK ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563502",
            "telephone_number": "818-996-4077",
            "fax_number": "818-996-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGID",
        "first_name": "LARISA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA17018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Madievsky, MD
• Sadek Magades, M.S.
• Richard Magallanes Jr.
• Maged S Mikhail a Professional Corporation (Los Angeles Varicose Vein Center)
• Ronit Maghen, RD
• Liliana Maria Magnanimo
• Magnolia Counseling
• Magnolia Counseling
• Maisner Medical LLC
• Megan Maureen Maixner

• Medical Physician Assistant in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.

Verify at the official NPI Registry.