Michael D Magdato, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11921 Issued in CA

Practice address

5237 Arrow Hwy
Montclair, CA 91763-1308

Phone

(909) 625-6567

Fax

(909) 399-9048

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Michael D Magdato OD

  • Optometrist
  • Montclair, CA
  • NPI 1689274433
  NPD Authorized official

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1942226022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5237 ARROW HWY",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631308",
            "telephone_number": "909-625-6567",
            "fax_number": "909-399-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5237 ARROW HWY",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631308",
            "telephone_number": "909-625-6567",
            "fax_number": "909-399-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGDATO",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisabeth Madrigal
• Martin Madrigal, PA-C
• Veronica Magallanes
• Cindy Magana
• Vanessa Magdaleno
• Mahipal M. Shah, M.D.,P.C.
• Nicholas Martin Malooly
• Haaliyah Malveaux
• Kent Malveaux Jr.
• Anthony Manago

• Optometrist in Montclair, CA
• Providers in Montclair, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.