Individual provider Active NPI

James Arthur Magnusson, PT

  • Physical Therapist
  • Oxnard, CA
National Provider Identifier
1780758284
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT15163 Issued in CA
Practice address
1651 E. Channel Island Blvd Suite 2
Oxnard, CA 93033-5617
Phone
(805) 240-3373
Fax
(805) 240-3375
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT15163 CA Primary

Addresses

Primary practice location

1651 E. Channel Island Blvd Suite 2
Oxnard, CA 93033-5617

Mailing address

2381 Magda Cir
Thousand Oaks, CA 91360-1829
Phone (805) 494-4536

Other identifiers 1

IdentifierTypeStateIssuer
PT15163OtherCAPT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120225000158 CA Practitioner - Physical Therapist in Private Practice 4880645589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MDRS Spine and Sport IncGroup PAC ID 3274446687, 181 clinicians

Practice addresses (Care Compare)

1633 Pacific Ave
Suite 142
Oxnard, CA 93033-1858
Phone (805) 240-3373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT15163CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Jun 7, 2021 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Jun 7, 2021 Accepting new patients

Locations

450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781

1901 Outlet Center Dr
Ste 110
Oxnard, CA 93036
Phone (805) 240-3373

1633 Pacific Ave
Ste 142
Oxnard, CA 93033
Phone (805) 240-3373

1651 E Channel Islands Blvd
Ste 2
Oxnard, CA 93033
Phone (805) 240-3373

101 Hodencamp Rd
Ste 102
Thousand Oaks, CA 91360
Phone (805) 496-9944

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1780758284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2381 MAGDA CIR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601829",
            "telephone_number": "805-494-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 E. CHANNEL ISLAND BLVD SUITE 2",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930335617",
            "telephone_number": "805-240-3373",
            "fax_number": "805-240-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNUSSON",
        "first_name": "JAMES",
        "middle_name": "ARTHUR",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT15163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT15163",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.