Magnolia Care Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MAGNOLIA CARE CENTER, INC.

Practice address

3017 N Frederic St
Burbank, CA 91504-1719

Phone

(818) 644-7505

NPI assigned

Dec 14, 2023

Last updated

Dec 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ella Undzhyan

Title

Ceo

Phone

(818) 644-7505

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1518735950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 N FREDERIC ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915041719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 N FREDERIC ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915041719",
            "telephone_number": "818-644-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "UNDZHYAN",
        "authorized_official_first_name": "ELLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-644-7505"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Magana
• Jessica Macias Maganda, NP
• Maged Ayad MD a Medical Corporation
• Raegan Magee
• Alexis Michelle Magill, HAD
• Magnolia Diagnostic Inc
• Magnolia Home Health Care Services, Inc
• Magnolia Hospice Care, Inc.
• Magnolia Medical Supply Inc
• Magnolia Neurodiagnostic Inc

• Skilled Nursing Facility in Burbank, CA
• Providers in Burbank, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.