DR. MANPREET KAUR BRAR MAGOON D.P.M NPI 1619117181

NPI Information

NPI: 1619117181
Provider Name: DR. MANPREET KAUR BRAR MAGOON, D.P.M
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Organization: GOLDEN VALLEY HEALTH CENTER

PECOS Registration: Yes

Address:
1510 FLORIDA AVE
MODESTO, CA
ZIP 95350
Phone: (209) 574-1030
Get Directions

DR. Manpreet Kaur Brar Magoon, D.P.M is a foot and ankle surgery podiatrist in Modesto, CA with 17 years of experience. DR. Manpreet Kaur Brar Magoon, D.P.M NPI is 1619117181. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2007

The provider's business location address is:

1510 FLORIDA AVE
MODESTO, CA
ZIP 95350-437
Phone: (209) 574-1030
Fax: (209) 574-1038

The NPI 1619117181 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 2/24/2009 and was last updated on 7/25/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213EP0504X	Podiatrist	Public Medicine	EL 1694	CALIFORNIA	No
2	213EP1101X	Podiatrist	Primary Podiatric Medicine	EL 1694	CALIFORNIA	No
3	213ER0200X	Podiatrist	Radiology	EL 1694	CALIFORNIA	No
4	213ES0000X	Podiatrist	Sports Medicine	EL 1694	CALIFORNIA	No
5	213ES0103X	Podiatrist	Foot & Ankle Surgery	EL 1694	CALIFORNIA	No
6	213ES0131X	Podiatrist	Foot Surgery	EL 1694	CALIFORNIA	No
7	213ES0103X	Podiatrist	Foot & Ankle Surgery	E4869	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E4869	OTHER	CALIFORNIA	CA LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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