Active NPI
Miguel Angel Magana
- Behavior Analyst
- Bakersfield, CA
National Provider Identifier
1639479470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 11416340
- Practice address
- 1901 Brundage LN
Bakersfield, CA 93304-2848 - Phone
- (661) 869-1074
- Fax
- (661) 869-1075
- NPI assigned
- Oct 27, 2010
- Last updated
- Nov 2, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 74892 | CA | |
| Behavior Analyst | 103K00000X | 11416340 | CA | Primary |
Addresses
Primary practice location
1901 Brundage LN
Bakersfield, CA 93304-2848
Mailing address
1901 Brundage LN
Bakersfield, CA 93304-2848
Phone (661) 869-1074
Other names 1
- Miguel Angel Magana Ventura
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11416340 | CA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Dynamic Interventions, Inc | Past | Accepting new patients | |
| Aerie Therapy | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Behavior Analyst
- Bakersfield, CA
- NPI 1144646829
-
dba Bdi
- Community/Behavioral Health Agency
- Bakersfield, CA
- NPI 1083050470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446422400000",
"number": "1639479470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 BRUNDAGE LN",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933042848",
"telephone_number": "661-869-1074",
"fax_number": "661-869-1075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 BRUNDAGE LN",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933042848",
"telephone_number": "661-869-1074",
"fax_number": "661-869-1075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGANA",
"first_name": "MIGUEL",
"middle_name": "ANGEL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-27",
"last_updated": "2015-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "74892",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "11416340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIGUEL",
"last_name": "MAGANA VENTURA",
"middle_name": "ANGEL",
"credential": "MS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.