Active NPI
Magnolia NG, D.C., L.AC
- Chiropractor
- Tustin, CA
National Provider Identifier
1841633393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 32598
- Practice address
- 17291 Irvine Blvd
Ste 103
Tustin, CA 92780-2941 - Phone
- (415) 505-6886
- NPI assigned
- Apr 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 32598 | CA | Primary |
| Acupuncturist | 171100000X | AC15326 | CA |
Addresses
Primary practice location
17291 Irvine Blvd
Ste 103
Tustin, CA 92780-2941
Mailing address
16040 Leffingwell Rd
#90
Whittier, CA 90603-3158
Phone (415) 505-6886
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32598 | CA | MD | Chiropractor |
| AC15326 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365984000000",
"number": "1841633393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16040 LEFFINGWELL RD",
"address_2": "#90",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906033158",
"telephone_number": "415-505-6886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17291 IRVINE BLVD",
"address_2": "STE 103",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927802941",
"telephone_number": "415-505-6886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NG",
"first_name": "MAGNOLIA",
"name_prefix": "Dr.",
"credential": "D.C., L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-15",
"last_updated": "2013-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "32598",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC15326",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.