Individual provider Active NPI

Alix A. Magloire, M.D.

  • Internal Medicine Physician
  • Oakland, CA
National Provider Identifier
1770745093
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A42319 Issued in CA
Practice address
2221 Martin Luther King Jr Way
Department of Veterans Affairs 111/Oak
Oakland, CA 94612-1318
Phone
(510) 267-7925
Fax
(510) 267-7870
NPI assigned
Jun 27, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A42319 CA Primary

Addresses

Primary practice location

2221 Martin Luther King Jr Way
Department of Veterans Affairs 111/Oak
Oakland, CA 94612-1318

Mailing address

2221 Martin Luther King Jr Way
Department of Veterans Affairs 111/Oak
Oakland, CA 94612-1318
Phone (510) 267-7925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151021001848 CA Order and Referring Only - EndocrinologyPractitioner - Endocrinology 4587852363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1770745093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 MARTIN LUTHER KING JR WAY",
            "address_2": "DEPARTMENT OF VETERANS AFFAIRS 111/OAK",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121318",
            "telephone_number": "510-267-7925",
            "fax_number": "510-267-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 MARTIN LUTHER KING JR WAY",
            "address_2": "DEPARTMENT OF VETERANS AFFAIRS 111/OAK",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121318",
            "telephone_number": "510-267-7925",
            "fax_number": "510-267-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGLOIRE",
        "first_name": "ALIX",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A42319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.