Active NPI
Magdalena Loza
- Family Medicine Physician
- Lawrenceville, GA
National Provider Identifier
1417005604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Practice address
- 357 Mill Ridge Way
Lawrenceville, GA 30045-5583 - Phone
- (678) 518-4663
- Fax
- (678) 518-4663
- NPI assigned
- Jan 6, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | GA | Primary |
Addresses
Primary practice location
357 Mill Ridge Way
Lawrenceville, GA 30045-5583
Mailing address
357 Mill Ridge Way
Lawrenceville, GA 30045-5583
Phone (678) 518-4663
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049374701 | GA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417005604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "357 MILL RIDGE WAY",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300455583",
"telephone_number": "678-518-4663",
"fax_number": "678-518-4663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "357 MILL RIDGE WAY",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300455583",
"telephone_number": "678-518-4663",
"fax_number": "678-518-4663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOZA",
"first_name": "MAGDALENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.