Individual provider Active NPI

Athanasios Magimbi, MD

  • Pain Medicine (Anesthesiology) Physician
  • Tracy, CA
National Provider Identifier
1851470959
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A76322 Issued in CA
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

Updated by the provider on Jun 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A763220MedicaidCA

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
I20060131000240 CA Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 6305850207 Practice locations: Tracy, CA

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
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 Home health agency, Livermore, CA, CCN 553192
  • Infinity Care Services, Inc Home health agency, Stockton, CA, CCN 059217
  • Sky Healthcare Home Health Services Home health agency, Pleasanton, CA, CCN 559446
  • Sutter Tracy Community Hospital Hospital, Tracy, CA, CCN 050313
  • Doctors Hospital of Manteca Hospital, Manteca, CA, CCN 050118

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pranjal Patel MD Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.