Individual provider Active NPI

Peggy Magarian, OTR/L

  • Skilled Nursing Facility
  • La Crescenta, CA
National Provider Identifier
1750748083
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
OT 13389 Issued in CA
Practice address
3115 Foothill Blvd Ste M237
La Crescenta, CA 91214-2691
Phone
(818) 659-5801
NPI assigned
Jan 17, 2016
Reactivated
Dec 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X OT 13389 CA Primary

Addresses

Primary practice location

3115 Foothill Blvd Ste M237
La Crescenta, CA 91214-2691

Mailing address

3115 Foothill Blvd Ste M237
La Crescenta, CA 91214-2691

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

LicenseStateTypeSpecialty
OT 13389CAMDSkilled Nursing Facility

NPI Registry JSON

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

{
    "created_epoch": "1452988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1750748083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 FOOTHILL BLVD STE M237",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912142691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 FOOTHILL BLVD STE M237",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912142691",
            "telephone_number": "818-659-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGARIAN",
        "first_name": "PEGGY",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-17",
        "last_updated": "2019-12-06",
        "deactivation_date": "2018-01-17",
        "reactivation_date": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "OT 13389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crescenta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.