Organization Active NPI

Maged M Estafan MD Inc

  • Psychiatry Physician
  • Temecula, CA
National Provider Identifier
1912307208
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C52942 Issued in CA
Legal business name
MAGED M ESTAFAN MD INC
Practice address
32605 Temecula Pkwy
Suite 207
Temecula, CA 92592-6837
Phone
(951) 302-7085
Fax
(951) 302-7673
NPI assigned
Aug 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Authorized official

Name
Dr. Maged M Estafan, MD
Title
Owner
Phone
(951) 302-7085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X C52942 CA Primary

Addresses

Primary practice location

32605 Temecula Pkwy
Suite 207
Temecula, CA 92592-6837

Mailing address

31915 Rancho California Rd
Temecula, CA 92591-5132
Phone (951) 302-7085

National Provider Directory

National Provider Directory

Locations

31915 Rancho California Rd
Temecula, CA 92591
Phone (951) 331-3707

NPI Registry JSON

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1912307208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31915 RANCHO CALIFORNIA RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915132",
            "telephone_number": "951-302-7085",
            "fax_number": "951-302-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32605 TEMECULA PKWY",
            "address_2": "SUITE 207",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926837",
            "telephone_number": "951-302-7085",
            "fax_number": "951-302-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGED M ESTAFAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "ESTAFAN",
        "authorized_official_first_name": "MAGED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-302-7085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C52942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.