MEDICARE: DR. MICHAEL MAGNOTTI MD, FACE, ECNU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	230550	NY
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	25MA08281000	NJ
3	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	149159	CA

General Provider Information

NPI Number	:	1134324585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL MAGNOTTI MD, FACE, ECNU

Provider Business Mailing Address
First Line	:	3883 AIRWAY DR STE 201
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95403-1671
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3883 AIRWAY DR STE 201
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95403-1671
Country	:	US
Telephone Number	:	707-521-7735
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2007
Last Update Date	:	11/29/2020

Similar Medicare Providers

1629668256 — NATHAN HOLMES FNP
Practice Location Address:

3883 AIRWAY DR STE 202
SANTA ROSA, CA
95403-1671

Practice Phone: 707-573-5261
Practice Fax: 707-573-5414

1285615922 — DR. KENDAL LEE HAMANN M.D.
Practice Location Address:

3883 AIRWAY DR STE 201
SANTA ROSA, CA
95403-1671

Practice Phone: 707-521-7735
Practice Fax: 707-573-5422

1215918784 — ELIZABETH A PERALTA M.D.
Practice Location Address:

3883 AIRWAY DR STE 320
SANTA ROSA, CA
95403-1671

Practice Phone: 707-541-7900
Practice Fax: 707-573-5431

1972565703 — DR. KAREN ANN GELPHMAN MD
Practice Location Address:

3883 AIRWAY DR STE 202
SANTA ROSA, CA
95403-1671

Practice Phone: 707-521-7777
Practice Fax: 707-573-5426

1215990635 — DR. STEVEN LAURENCE WOLF MD
Practice Location Address:

3883 AIRWAY DR STE 202
SANTA ROSA, CA
95403-1671

Practice Phone: 707-521-7777
Practice Fax: 707-573-5426

1437350709 — DIANA SANTO DOMINGO M.D.
Practice Location Address:

3883 AIRWAY DR STE 203
SANTA ROSA, CA
95403-1671

Practice Phone: 707-521-4495
Practice Fax: 707-573-5421

Directions to “ DR. MICHAEL MAGNOTTI MD, FACE, ECNU” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.