Healthcare Provider Details

I. General information

NPI: 1245193085
Provider Name (Legal Business Name): ADIA J MAGSBY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9310 COUSTEAU AVE
BAKERSFIELD CA
93311-9091
US

IV. Provider business mailing address

4311 BAREBACK LN
BAKERSFIELD CA
93312-5184
US

V. Phone/Fax

Practice location:
  • Phone: 661-381-7125
  • Fax:
Mailing address:
  • Phone: 661-606-5979
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: