NPIMap

Individual provider Active NPI

Octavio Magana, LCSW

  • Clinical Social Worker
  • Delano, CA
National Provider Identifier
1003945890
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
71550 Issued in CA
Practice address
2737 West Cecil Avenue
Delano, CA 93215-9321
Phone
(661) 721-2345
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW 28646 CA
Clinical Social Worker 1041C0700X 51770 CA
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X 71550 CA Primary

Addresses

Primary practice location

2737 West Cecil Avenue
Delano, CA 93215-9321

Mailing address

2105 5TH Ave
Delano, CA 93215-4231

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Octavio.Magana@cdcr.ca.gov Direct
Direct Messaging Address Octavio.Magana@cdcr.ca.gov Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ASW 28646CAMDClinical Social Worker
51770CAMDGeneral Practice Dentistry
71550CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Corrections and Rehabilitation-Headquarters CurrentSince Sep 20, 2022 Accepting new patients
North Kern State Prison PastSince Sep 20, 2022 Accepting new patients

Locations

2737 W Cecil Ave
Delano, CA 93215

Interoperability endpoints

  • Direct secure messaging: octavio.magana@cdcr.ca.gov

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1003945890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 5TH AVE",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932154231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 WEST CECIL AVENUE",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932159321",
            "telephone_number": "661-721-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGANA",
        "first_name": "OCTAVIO",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW 28646",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "51770",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "71550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Octavio.Magana@cdcr.ca.gov",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2737 West Cecil Avenue",
            "city": "Delano",
            "state": "CA",
            "country_code": "US",
            "postal_code": "932159321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Octavio.Magana@cdcr.ca.gov",
            "affiliation": "N",
            "endpointDescription": "Work Email.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2737 West Cecil Avenue",
            "city": "Delano",
            "state": "CA",
            "country_code": "US",
            "postal_code": "932159321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Delano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.