Active NPI
Athanasios Magimbi, MD
- Pain Medicine (Anesthesiology) Physician
- Tracy, CA
National Provider Identifier
1851470959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- A76322
- Practice address
- 1530 Bessie Ave
Ste 105
Tracy, CA 95376-3080 - Phone
- (209) 832-2095
- Fax
- (209) 832-7828
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | A76322 | CA | Primary |
Addresses
Primary practice location
1530 Bessie Ave
Ste 105
Tracy, CA 95376-3080
Mailing address
1530 Bessie Ave
Ste 105
Tracy, CA 95376-3080
Phone (209) 467-6866
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A763220 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060131000240 | CA | Practitioner - Anesthesiology | 6305850207 | Practice locations: Tracy, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1420 N Tracy Blvd
Tracy, CA 95376-3451
Phone (209) 832-2095
1530 Bessie Ave
Suite 105
Tracy, CA 95376-3080
Phone (209) 832-2095
Hospital & facility affiliations
- Aic Home Health Services
- Infinity Care Services, Inc
- Sky Healthcare Home Health Services
- Sutter Tracy Community Hospital
- Doctors Hospital of Manteca
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pranjal Patel MD Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HIFCBD/Endpoint/HIFCBD
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Tracy, CA
- NPI 1619261054
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Livermore, CA
- NPI 1144675869
-
- General Acute Care Hospital
- Manteca, CA
- NPI 1992736599
-
- Home Health Agency
- Stockton, CA
- NPI 1104057991
-
- Home Health Agency
- Elk Grove, CA
- NPI 1750892857
-
- General Acute Care Hospital
- Tracy, CA
- NPI 1821442864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465171200000",
"number": "1851470959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 BESSIE AVE",
"address_2": "STE 105",
"city": "TRACY",
"state": "CA",
"postal_code": "953763080",
"telephone_number": "209-467-6866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 BESSIE AVE",
"address_2": "STE 105",
"city": "TRACY",
"state": "CA",
"postal_code": "953763080",
"telephone_number": "209-832-2095",
"fax_number": "209-832-7828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGIMBI",
"first_name": "ATHANASIOS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2016-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "A76322",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A763220",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tracy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.