Active NPI
Magnolia Access Services Inc
- Health Service Clinic/Center
- Los Angeles, CA
National Provider Identifier
1770246779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- MAGNOLIA ACCESS SERVICES INC
- Practice address
- 360 E 2ND St FL 8
Los Angeles, CA 90012-4295 - Phone
- (714) 785-3639
- NPI assigned
- Oct 16, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christian Reyes, FNP
- Title
- President
- Phone
- (714) 785-3639
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary | ||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
360 E 2ND St FL 8
Los Angeles, CA 90012-4295
Mailing address
8453 Penny Dr
Riverside, CA 92503-1488
Phone (714) 785-3639
National Provider Directory
National Provider DirectoryLocations
360 E 2nd St
Fl 8
Los Angeles, CA 90012
Phone (714) 785-3639
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Los Angeles, CA
- NPI 1538782214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704844800000",
"number": "1770246779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8453 PENNY DR",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925031488",
"telephone_number": "714-785-3639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 E 2ND ST FL 8",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900124295",
"telephone_number": "714-785-3639"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGNOLIA ACCESS SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-16",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A",
"authorized_official_last_name": "REYES",
"authorized_official_first_name": "CHRISTIAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-785-3639",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.