Active NPI
Simona Magda
- Lodging Provider
- Phoenix, AZ
National Provider Identifier
1912134164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lodging Provider
- License
- ALH-5284
- Practice address
- 11433 N 33Rd Ave
Phoenix, AZ 85029-3236 - Phone
- (602) 547-2273
- Fax
- (602) 547-7912
- NPI assigned
- Jun 15, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lodging Provider | 177F00000X | ALH-5284 | AZ | Primary |
Addresses
Primary practice location
11433 N 33Rd Ave
Phoenix, AZ 85029-3236
Mailing address
11433 N 33Rd Ave
Phoenix, AZ 85029-3236
Phone (602) 547-2273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 226409 | Medicaid | AZ |
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 |
|---|---|---|---|
| ALH-5284 | AZ | MD | Lodging Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245024000000",
"number": "1912134164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11433 N 33RD AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850293236",
"telephone_number": "602-547-2273",
"fax_number": "602-547-7912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11433 N 33RD AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850293236",
"telephone_number": "602-547-2273",
"fax_number": "602-547-7912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGDA",
"first_name": "SIMONA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-15",
"last_updated": "2009-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": "AZ",
"license": "ALH-5284",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "226409",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.