Dominic Magtahas, N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

95004891 Issued in CA

Practice address

8700 Beverly Blvd
Becker BLDG 220
West Hollywood, CA 90048-1804

Phone

(310) 423-7800

NPI assigned

Nov 11, 2016

Last updated

Nov 11, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478822400000",
    "number": "1467994194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9511 YOLANDA AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242256",
            "telephone_number": "818-523-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD",
            "address_2": "BECKER BLDG 220",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481804",
            "telephone_number": "310-423-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGTAHAS",
        "first_name": "DOMINIC",
        "name_prefix": "Mr.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-11",
        "last_updated": "2016-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95004891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hari Magge, MD
• Kevin Maghami, MD
• Nir Maghen, M.D.
• Jan Kevin Tan Magpantay, MSN, APRN, AGPCNP-BC
• Yan Cui Magram, M.D.
• Maaz Majid
• Mehar Kawal Maju, MD
• Raj R Makkar, M.D.
• Galina Makovoz, M.D.
• Jad Malas, MD

• Adult Health Nurse Practitioner in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; 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.