Magnolia Palms

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MAGNOLIA PALMS

Practice address

17397 Palm St
Fountain Valley, CA 92708-2744

Phone

(949) 433-0599

NPI assigned

Nov 28, 2023

Organization subpart

No

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

Authorized official

Name

Kim Bhatia

Title

Licensee

Phone

(949) 433-0599

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1740056068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17397 PALM ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17397 PALM ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082744",
            "telephone_number": "949-433-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA PALMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "BHATIA",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "949-433-0599"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa S Maestas, MD
• Nancy Magana
• Glenn Anthony Magarian, B.S.,D.C.
• Magdi a. Sidhom, MD Inc
• Magic Limo
• Hugh Thomas Magnuson, RBT
• Alyxis Mah, PA-C
• Mehrdad Michael Mahdad, M.D.
• Erin Mahdavi, RN
• Ana Maheshwari, MD

• Assisted Living Facility in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.