Peggy Gray Magnusson, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E2343 Issued in CA

Practice address

2850 Artesia Blvd
#204
Redondo Beach, CA 90278-3419

Phone

(310) 545-9445

Fax

(310) 545-4998

NPI assigned

Feb 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Peggy Gray Nimer Former name

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr Peggy G Magnusson

  • Durable Medical Equipment & Medical Supplies
  • Redondo Beach, CA
  • NPI 1275726499
  NPD Authorized official
• Peggy G Magnusson DPM Inc

  • Foot & Ankle Surgery Podiatrist
  • Redondo Beach, CA
  • NPI 1245798446
  NPD Authorized official
• Michael D. Kotzen, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Valley Village, CA
  • NPI 1013105972
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1619002821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 ARTESIA BLVD",
            "address_2": "#204",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783419",
            "telephone_number": "310-245-2789",
            "fax_number": "866-257-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 ARTESIA BLVD",
            "address_2": "#204",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783419",
            "telephone_number": "310-545-9445",
            "fax_number": "310-545-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNUSSON",
        "first_name": "PEGGY",
        "middle_name": "GRAY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E2343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEGGY",
            "last_name": "NIMER",
            "middle_name": "GRAY",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madison Park Family Medical Group
• Madison Park Family Medical Group, Inc.
• Malina Maeda
• Robert Frank Maffucci, MPT
• Sarina Maghsoudy Louyeh
• Lea Magsayo, LMT
• Mah Health Services LLC
• Roohbakhsh Maher, DPM
• Sanna Mahmood, MD
• Kelly Lynn Mahoney, MPT

• Foot & Ankle Surgery Podiatrist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.

Verify at the official NPI Registry.