Individual provider Active NPI

Dawn H. Magdalin-Betts, M.D.

  • Emergency Medicine Physician
  • Santa Rosa, CA
National Provider Identifier
1427157262
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A48766 Issued in CA
Practice address
3250 Oak Farm LN
Santa Rosa, CA 95401-4046
Phone
(707) 579-5406
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A48766 CA Primary
Family Medicine Physician 207Q00000X A48766 CA

Addresses

Primary practice location

3250 Oak Farm LN
Santa Rosa, CA 95401-4046

Mailing address

3250 Oak Farm LN
Santa Rosa, CA 95401-4046
Phone (707) 579-5406

Other identifiers 1

IdentifierTypeStateIssuer
00A487660MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060406000328 CA Practitioner - Family PracticePractitioner - Emergency Medicine 9133138985 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

3300 Renner Dr
Fortuna, CA 95540-3120
Phone (707) 725-3361

500 Doyle Park Dr
Santa Rosa, CA 95405-4559

Hospital & facility affiliations

  • Providence Redwood Memorial Hospital Hospital, Fortuna, CA, CCN 051318

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A48766CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation Family Medicine CurrentSince Mar 11, 2019 Accepting new patients
Providence Medical Foundation Family Medicine CurrentSince Mar 11, 2019 Accepting new patients
Chase Dennis Emergency Medical Group Inc Emergency Medicine CurrentSince May 1, 2014 Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Palm Drive Health Care District Past Accepting new patients

Locations

2379 23rd St
Eureka, CA 95501
Phone (707) 443-9371

2700 Dolbeer St
Eureka, CA 95501
Phone (707) 269-4229

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

3300 Renner Dr
Fortuna, CA 95540
Phone (707) 725-3361

1375 University St
Healdsburg, CA 95448
Phone (707) 385-2025

1287 Fulton Rd
Santa Rosa, CA 95401
Phone (707) 543-2031

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511

Organizations & group practices 6

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 2

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1427157262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 OAK FARM LN",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014046",
            "telephone_number": "707-579-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 OAK FARM LN",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014046",
            "telephone_number": "707-579-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGDALIN-BETTS",
        "first_name": "DAWN",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A48766",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A48766",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A487660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.