NPIMap

Individual provider Active NPI

Elpidio Posa Magalong Jr., M.D.

  • Internal Medicine Physician
  • Alameda, CA
National Provider Identifier
1992773279
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A79008 Issued in CA
Practice address
1050 Marina Village Pkwy Ste 101
Alameda, CA 94501-1033
Phone
(510) 227-5540
Fax
(510) 788-6849
NPI assigned
Mar 10, 2006
Last updated
Nov 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A79008 CA Primary

Addresses

Primary practice location

1050 Marina Village Pkwy Ste 101
Alameda, CA 94501-1033

Mailing address

1050 Marina Village Pkwy Ste 101
Alameda, CA 94501-1033
Phone (510) 227-5540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070201000560 CA Practitioner - Internal Medicine 2567464647 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1050 Marina Village Pkwy
Suite 101
Alameda, CA 94501-1033
Phone (510) 227-5540

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A79008CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
E P Magalong Jr MD Inc Internal Medicine CurrentSince Jun 17, 2022 Accepting new patients
Jagmohan S. Khaira, M.D, Inc. CurrentSince Feb 3, 2025 Accepting new patients
Alameda Health System Past Accepting new patients

Locations

1050 Marina Village Pkwy
Ste 101
Alameda, CA 94501
Phone (510) 227-5540

2300 Merced St
San Leandro, CA 94577

Interoperability endpoints

  • Direct secure messaging: elpidio.magalong.1@15542.direct.athenahealth.com
  • Direct secure messaging: elpidio.magalong@203393278148612.direct.elationemr.com
  • Direct secure messaging: emagalong161337@hisp.ehr.sutterhealth.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Alert Home Health CareDublin, CA, CCN 059273 Home health agency Contracted Managing Employee (100%) Apr 1, 2025
Life Springs HospiceFremont, CA, CCN 551660 Hospice Contracted Managing Employee (100%) Sep 1, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1992773279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 MARINA VILLAGE PKWY STE 101",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011033",
            "telephone_number": "510-227-5540",
            "fax_number": "510-788-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 MARINA VILLAGE PKWY STE 101",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011033",
            "telephone_number": "510-227-5540",
            "fax_number": "510-788-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGALONG",
        "first_name": "ELPIDIO",
        "middle_name": "POSA",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A79008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.