Active NPI
Tracy Lynn Magie, D.C.
- Chiropractor
- San Marcos, CA
National Provider Identifier
1558433714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC17993
- Practice address
- 1537 Grand Ave
#C
San Marcos, CA 92078-2424 - Phone
- (760) 752-1551
- Fax
- (760) 436-3993
- NPI assigned
- Nov 14, 2006
- Last updated
- Mar 29, 2016
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC17993 | CA | Primary |
Addresses
Primary practice location
1537 Grand Ave
#C
San Marcos, CA 92078-2424
Mailing address
PO Box 1176
Cardiff, CA 92007-7176
Phone (858) 509-7999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040817001068 | CA | Practitioner - Chiropractic | 4789657727 | Practice locations: San Marcos, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1986
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1537 Grand Ave C
San Marcos, CA 92078-2424
Phone (760) 752-1551
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17993 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459209600000",
"number": "1558433714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1176",
"city": "CARDIFF",
"state": "CA",
"postal_code": "920077176",
"telephone_number": "858-509-7999",
"fax_number": "858-509-3993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1537 GRAND AVE",
"address_2": "#C",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920782424",
"telephone_number": "760-752-1551",
"fax_number": "760-436-3993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGIE",
"first_name": "TRACY",
"middle_name": "LYNN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2016-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC17993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.