Individual provider Active NPI

Diana Antonia Magazzu, PA

  • Medical Physician Assistant
  • Loxahatchee, FL
National Provider Identifier
1649484684
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA00003679 Issued in FL
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

Updated by the provider on May 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PA00003679FLMDMedical 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.

Verify at the official NPI Registry.