MAGELLA MEDICAL GROUP, INC. (NPI# 1376640086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376640086 |
| Entity Type | Organization |
| Organization Name | MAGELLA MEDICAL GROUP, INC. |
| Practice Address |
2888 Long Beach Blvd Ste 400 Long Beach CA 90806-1553 |
| Mailing Address |
770 The City Dr S Ste 4000 Orange CA 92868-4929 |
| Practice Telephone | 5629978510 |
| Practice Fax Number | 5629978520 |
| Mailing Telephone | 8004636628 |
| Mailing Fax Number | 7146203008 |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2019-11-04 |
| Authorized Official Name | DR. ALAN FISHMAN (PRESIDENT) |
| Authorized Official Telephone | 8004636628 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
2888 LONG BEACH BLVD STE 400 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-1553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495171 | Heather Ann Sykora | Nurse Practitioner | 2888 Long Beach Blvd Ste 400, Long Beach, CA 90806-1553 | 2020-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003196692 | Los Angeles Perinatal Associates | Obstetrics & Gynecology | 529 E 10th St, 2nd Floor, Long Beach, CA 90813-4508 | 2011-08-26 |
| 1972559631 | Michael Patrick Nageotte | Obstetrics & Gynecology | 2840 Long Beach Blvd, Suite 120, Long Beach, CA 90806-1516 | 2006-05-25 |
| 1629023296 | Jennifer Mcnulty | Obstetrics & Gynecology | 2840 Long Beach Blvd, Long Beach, CA 90806-1531 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750874 | Dominika Dymarczyk | Obstetrics & Gynecology | 447 Hillcrest Dr, Redwood City, CA 94062-2949 | 2020-11-03 |
| 1710506340 | Delete | Obstetrics & Gynecology | 27008 Pierpont Ct, Santa Clarita, CA 91355-1602 | 2020-04-14 |
| 1386286979 | California Maternal Fetal Medicine Inc | Obstetrics & Gynecology | 1645 Creekside Dr Ste 200, Folsom, CA 95630-3832 | 2019-10-15 |
| 1235697244 | Maternal & Fetal Medicine Center of Southern Calif. Inc | Obstetrics & Gynecology | 17220 Rayen St, Sherwood Forest, CA 91325-2919 | 2019-03-08 |
| 1851892459 | Baychildren's Physicians | Obstetrics & Gynecology | 2970 Camino Diablo Ste 210, Walnut Creek, CA 94597 | 2018-02-28 |
| 1609393537 | James R. Shields, M.d., A Medical Corporation | Obstetrics & Gynecology | 7301 Medical Center Drive, #206, West Hills, CA 91307 | 2017-08-22 |
| 1912447137 | Baychildren's Physicians | Obstetrics & Gynecology | 3000 Colby St Ste 301, Berkeley, CA 94705-2058 | 2017-03-07 |
| 1396145116 | Ginni S. Rosenfeld, Md Inc | Obstetrics & Gynecology | 575 E Hardy St Ste 321, Inglewood, CA 90301-4052 | 2014-08-28 |
| 1801236401 | Ilina Datkhaeva Pluym | Obstetrics & Gynecology | 200 Medical Plaza Dr, Los Angeles, CA 90095-2401 | 2013-06-27 |
| 1750660098 | Shravya Govindappagari | Obstetrics & Gynecology | 11210 Sardis Ave Apt 303, Los Angeles, CA 90064-4189 | 2011-08-04 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
Please comment or provide details below to improve the information on MAGELLA MEDICAL GROUP, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.