Dr. Mag Direct Primary Care PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DR. MAG DIRECT PRIMARY CARE PLLC

Practice address

160 N Pointe Blvd Ste 106
Lancaster, PA 17601-4134

Phone

(717) 500-3930

NPI assigned

Sep 17, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Efrem Bolano Magtagnob, MD

Title

Founder/Ceo

Phone

(713) 410-8087

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1811808728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 OAKWOOD LN",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032451",
            "telephone_number": "713-410-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N POINTE BLVD STE 106",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014134",
            "telephone_number": "717-500-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MAG DIRECT PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "MAGTAGNOB",
        "authorized_official_first_name": "EFREM",
        "authorized_official_middle_name": "BOLANO",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "713-410-8087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.