Individual provider Active NPI

Josephine Anne Magnuson, M.D.

  • Internal Medicine Physician
  • Mountain View, CA
National Provider Identifier
1851426266
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G42554 Issued in CA
Practice address
2204 Grant Road
Suite 103
Mountain View, CA 94040-3877
Phone
(650) 428-1200
Fax
(650) 428-1202
NPI assigned
Feb 23, 2007
Last updated
Mar 4, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G42554 CA Primary
Internal Medicine Physician 207R00000X G042554 CA

Addresses

Primary practice location

2204 Grant Road
Suite 103
Mountain View, CA 94040-3877

Mailing address

2204 Grant Road
Suite 103
Mountain View, CA 94040-3877
Phone (650) 428-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180409002441 CA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 2668465873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G042554CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1851426266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 GRANT ROAD",
            "address_2": "SUITE 103",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403877",
            "telephone_number": "650-428-1200",
            "fax_number": "650-428-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 GRANT ROAD",
            "address_2": "SUITE 103",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403877",
            "telephone_number": "650-428-1200",
            "fax_number": "650-428-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNUSON",
        "first_name": "JOSEPHINE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G42554",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G042554",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.