Organization Active NPI

Magnificat Medical Clinic Inc

  • Women's Health Nurse Practitioner
  • Bellflower, CA
National Provider Identifier
1760507206
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
Legal business name
MAGNIFICAT MEDICAL CLINIC INC
Practice address
17620 Bellflower Blvd
Ste B 106 & 107
Bellflower, CA 90706-8070
Phone
(562) 867-7098
Fax
(562) 867-7146
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Joy A Reyes, NURSE PRACTIITONERNPI 1205977246
Title
Secretary
Phone
(562) 867-7098

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LW0102X Primary

Addresses

Primary practice location

17620 Bellflower Blvd
Ste B 106 & 107
Bellflower, CA 90706-8070

Mailing address

17620 Bellflower Blvd
Ste B 106 & 107
Bellflower, CA 90706-8070
Phone (562) 867-7098

Other identifiers 2

IdentifierTypeStateIssuer
1205977246OtherCANURSE PRACTITIONER
1255372942OtherCAMEDICAL DOCTOR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1017218Magnificat Medical Clinic Inc17620 Bellflower Blvd Ste B 106, Bellflower, CA 90706Certificate of waiverOct 8, 2027

National Provider Directory

National Provider Directory

Locations

17620 Bellflower Blvd
Ste B106
Bellflower, CA 90706
Phone (562) 867-7098

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760507206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17620 BELLFLOWER BLVD",
            "address_2": "STE B 106 & 107",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907068070",
            "telephone_number": "562-867-7098",
            "fax_number": "562-867-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17620 BELLFLOWER BLVD",
            "address_2": "STE B 106 & 107",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907068070",
            "telephone_number": "562-867-7098",
            "fax_number": "562-867-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNIFICAT MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "562-867-7098",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NURSE PRACTIITONER"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "1205977246",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL DOCTOR",
            "identifier": "1255372942",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.