Magnabloom LLC
NPI 1649012477 · Clinical Medical Laboratory · Harbor City, CA
Enrolled with Medicare as Part B Supplier - Independent Clinical Laboratory · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Magnabloom LLC is a Clinical Medical Laboratory organization in Harbor City, CA (NPI 1649012477).
Provider details
- NPI number
- 1649012477
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Jonathan Napitupulu, Manager(310) 975-4532
Specialties & taxonomies
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- South Bay Laboratories
Registry dates
- Enumerated
- 2024-06-11
- Last updated
- 2024-06-12
- Certified
- 2024-06-12
Frequently asked questions
- What is Magnabloom LLC's NPI number?
- Magnabloom LLC's National Provider Identifier (NPI) is 1649012477, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Magnabloom LLC?
- Magnabloom LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Magnabloom LLC located?
- Magnabloom LLC's practice location on file with NPPES is 1403 Lomita Blvd Ste 302, Harbor City, CA 90710-2085.
- What is Magnabloom LLC's phone number?
- The practice phone number listed in the NPPES registry for Magnabloom LLC is (424) 482-8789.
- Does Magnabloom LLC accept Medicare?
- Magnabloom LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Magnabloom LLC?
- The authorized official listed on Magnabloom LLC's NPPES record is Jonathan Napitupulu, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Magnabloom LLC's NPI active?
- Yes — Magnabloom LLC's NPI (1649012477) is active in the NPPES registry as of the last update on 2024-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.