Active NPI
Andrew Edmund Magsumbol, DC
- Chiropractor
- San Mateo, CA
National Provider Identifier
1790138022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 33286
- Practice address
- 205 E 3Rd Ave Ste 412
San Mateo, CA 94401-4050 - Phone
- (650) 242-1695
- NPI assigned
- Jul 21, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 33286 | CA | Primary |
Addresses
Primary practice location
205 E 3Rd Ave Ste 412
San Mateo, CA 94401-4050
Mailing address
205 E 3Rd Ave Ste 412
San Mateo, CA 94401-4050
Phone (650) 242-1695
Other practice location 1
616 University Ave
Palo Alto, CA 94301-2019
Phone (650) 323-6184
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549756800000",
"number": "1790138022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 E 3RD AVE STE 412",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944014050",
"telephone_number": "650-242-1695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 E 3RD AVE STE 412",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944014050",
"telephone_number": "650-242-1695"
}
],
"practiceLocations": [
{
"address_1": "616 University Ave",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943012019",
"country_code": "US",
"telephone_number": "650-323-6184",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAGSUMBOL",
"first_name": "ANDREW",
"middle_name": "EDMUND",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-21",
"last_updated": "2019-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "33286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.