Individual provider Active NPI

Latiffah Abdullah McGinness, MD FAAP MBBS

  • Pediatrics Physician
  • Lake Elsinore, CA
National Provider Identifier
1801823190
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A53638 Issued in CA
Practice address
32299 Wildomar Road
Lake Elsinore, CA 92530
Phone
(951) 471-0042
Fax
(951) 471-0422
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A53638 CA Primary

Addresses

Primary practice location

32299 Wildomar Road
Lake Elsinore, CA 92530

Mailing address

67 Corte Madera
Lake Elsinore, CA 92532
Phone (951) 471-0042

Other identifiers 1

IdentifierTypeStateIssuer
00A536380MedicaidCA

Other names 1

  • Mrs. Latiffah Abdullah Other name

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A53638CAMDPediatrics Physician

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGGHBA/Endpoint/DGGHBA

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1801823190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 CORTE MADERA",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "92532",
            "telephone_number": "951-471-0042",
            "fax_number": "951-471-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32299 WILDOMAR ROAD",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "92530",
            "telephone_number": "951-471-0042",
            "fax_number": "951-471-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINNESS",
        "first_name": "LATIFFAH",
        "middle_name": "ABDULLAH",
        "name_prefix": "Mrs.",
        "credential": "MD FAAP MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A53638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A536380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATIFFAH",
            "last_name": "ABDULLAH",
            "prefix": "MRS.",
            "credential": "MD FAAP MBBS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Elsinore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.