Active NPI
Amy Francis Todd Magnuson, M.D.
- Family Medicine Physician
- Vista, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C 144685
- Practice address
- 130 Cedar Rd
Vista, CA 92083-5102 - Phone
- (760) 806-5820
- Fax
- (760) 945-2052
- NPI assigned
- Jun 12, 2008
- Last updated
- Jan 27, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C 144685 | CA | Primary |
Addresses
Primary practice location
130 Cedar Rd
Vista, CA 92083-5102
Mailing address
10790 Rancho Bernardo Rd
Mail Drop 4S-205
San Diego, CA 92127-5705
Phone (760) 806-5820
Other names 1
- Amy Francis Todd Russo
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
130 Cedar Rd
Vista, CA 92083-5102
Phone (760) 806-5400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C 144685 | CA | MD | Family Medicine Physician |
| 103792 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Family Medicine | Current | Accepting new patients |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Family Medicine | Current | Accepting new patients |
Locations
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
File 54433
Los Angeles, CA 90074
Phone (858) 784-5645
10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626
10790 Rancho Bernardo Rd
#4S205
San Diego, CA 92127
Phone (858) 605-7171
130 Cedar Rd
Vista, CA 92083
Phone (760) 806-5400
Interoperability endpoints
- amagnuson25612@scrippshlth.medalliesdirect.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Scripps Clinic
- Multi-Specialty Clinic/Center
- La Jolla, CA
- NPI 1275899072
Family Medicine
-
dba Scripps Hospital Medical Services
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
dba Scripps Home Health Care Services
- Home Health Agency
- San Diego, CA
- NPI 1578556114
-
dba Scripps Coastal Medical Center
- Family Medicine Physician
- San Diego, CA
- NPI 1881636108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485475200000",
"number": "1558521583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10790 RANCHO BERNARDO RD",
"address_2": "MAIL DROP 4S-205",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921275705",
"telephone_number": "760-806-5820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 CEDAR RD",
"city": "VISTA",
"state": "CA",
"postal_code": "920835102",
"telephone_number": "760-806-5820",
"fax_number": "760-945-2052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGNUSON",
"first_name": "AMY",
"middle_name": "FRANCIS TODD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-12",
"last_updated": "2017-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "C 144685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "RUSSO",
"middle_name": "FRANCIS TODD",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.