Active NPI
Michael T Magtira
- Licensed Vocational Nurse
- Pasadena, CA
National Provider Identifier
1730753591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 709861
- Practice address
- 2750 E Washington Blvd Ste 230
Pasadena, CA 91107-1449 - Phone
- (626) 296-8900
- NPI assigned
- May 17, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 709861 | CA | Primary |
Addresses
Primary practice location
2750 E Washington Blvd Ste 230
Pasadena, CA 91107-1449
Mailing address
9241 Blackley St
Temple City, CA 91780-3137
Phone (626) 247-0574
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 |
|---|---|---|---|
| 709861 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621209600000",
"number": "1730753591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9241 BLACKLEY ST",
"city": "TEMPLE CITY",
"state": "CA",
"postal_code": "917803137",
"telephone_number": "626-247-0574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 E WASHINGTON BLVD STE 230",
"city": "PASADENA",
"state": "CA",
"postal_code": "911071449",
"telephone_number": "626-296-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGTIRA",
"first_name": "MICHAEL",
"middle_name": "T",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-17",
"last_updated": "2021-05-17",
"certification_date": "2021-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "709861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.