Active NPI
Diana Antonia Magazzu, PA
- Medical Physician Assistant
- Loxahatchee, FL
National Provider Identifier
1649484684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA00003679
- Practice address
- 12957 Palms West Dr
Suit 201
Loxahatchee, FL 33470-4932 - Phone
- (561) 422-7085
- NPI assigned
- May 9, 2007
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA00003679 | FL | Primary |
Addresses
Primary practice location
12957 Palms West Dr
Suit 201
Loxahatchee, FL 33470-4932
Mailing address
12957 Palms West Dr
Suit 201
Loxahatchee, FL 33470-4932
Phone (561) 422-7085
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA00003679 | FL | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463961600000",
"number": "1649484684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12957 PALMS WEST DR",
"address_2": "SUIT 201",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334704932",
"telephone_number": "561-422-7085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12957 PALMS WEST DR",
"address_2": "SUIT 201",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334704932",
"telephone_number": "561-422-7085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGAZZU",
"first_name": "DIANA",
"middle_name": "ANTONIA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2016-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA00003679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loxahatchee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.