Active NPI
Victoria Reyes Macagba, M.D.
- General Practice Physician
- Santee, CA
National Provider Identifier
1730500166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- AFE32684
- Practice address
- 10075 Silverado CT
Santee, CA 92071-1600 - Phone
- (619) 449-9104
- NPI assigned
- Jan 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | AFE32684 | CA | Primary |
Addresses
Primary practice location
10075 Silverado CT
Santee, CA 92071-1600
Mailing address
10075 Silverado CT
Santee, CA 92071-1600
Phone (619) 449-9104
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AFE32684 | Other | CA | THE MEDICAL BOARD OF CALIFORNIA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AFE32684 | CA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388707200000",
"number": "1730500166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10075 SILVERADO CT",
"city": "SANTEE",
"state": "CA",
"postal_code": "920711600",
"telephone_number": "619-449-9104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10075 SILVERADO CT",
"city": "SANTEE",
"state": "CA",
"postal_code": "920711600",
"telephone_number": "619-449-9104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACAGBA",
"first_name": "VICTORIA",
"middle_name": "REYES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-03",
"last_updated": "2014-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "AFE32684",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE MEDICAL BOARD OF CALIFORNIA",
"identifier": "AFE32684",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.