Active NPI
Latiffah Abdullah McGinness, MD FAAP MBBS
- Pediatrics Physician
- Lake Elsinore, CA
National Provider Identifier
1801823190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A53638
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A536380 | Medicaid | CA |
Other names 1
- Mrs. Latiffah Abdullah
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
| License | State | Type | Specialty |
|---|---|---|---|
| A53638 | CA | MD | Pediatrics Physician |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- 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.