Jeff Magallanes
Individual provider Active NPI Occupational Therapist · Stanton, CA
NPI 1437667474 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1437667474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT17603 (CA)
- Practice address
- 12151 Dale Ave
Stanton, CA 90680-3889 - Phone
- (714) 530-9100
- NPI assigned
- Jan 11, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT17603 | CA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT17603 | CA | Yes |
Addresses
Primary practice location
12151 Dale Ave
Stanton, CA 90680-3889
Mailing address
255 W 7TH St Apt 18
San Pedro, CA 90731-0304
Phone (714) 331-6716
Other practice location 1
15115 S Vermont Ave
Gardena, CA 90247-4101
Phone (310) 532-0700
NPI Registry JSON
{
"created_epoch": "1515628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1437667474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 W 7TH ST APT 18",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907310304",
"telephone_number": "714-331-6716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12151 DALE AVE",
"city": "STANTON",
"state": "CA",
"postal_code": "906803889",
"telephone_number": "714-530-9100"
}
],
"practiceLocations": [
{
"address_1": "15115 S Vermont Ave",
"address_purpose": "LOCATION",
"city": "Gardena",
"state": "CA",
"postal_code": "902474101",
"country_code": "US",
"telephone_number": "310-532-0700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAGALLANES",
"first_name": "JEFF",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-11",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT17603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stanton, CA
- Cindy Yanez Lopez
- Daniella Lopez
- Irene Lozano
- Tzuling Lu
- Linh Luu
- Makeila Paige Magno
- Arianna Mah
- Alyssa Mai
- Main Street Home Care Inc
- Brandy Lyn Martin
All providers in Stanton, CA · Occupational Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.