NPIMap

Individual provider Active NPI

Eugenia Brazal Magahis, NP

  • Nurse Practitioner
  • Emeryville, CA
National Provider Identifier
1023419686
Registry record updated Dec 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
608974 Issued in CA
Practice address
2100 Powell St
Suite 900
Emeryville, CA 94608-1826
Phone
(510) 350-2600
Fax
(510) 879-9084
NPI assigned
Sep 12, 2014
Last updated
Dec 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 608974 CA Primary

Addresses

Primary practice location

2100 Powell St
Suite 900
Emeryville, CA 94608-1826

Mailing address

100 Willow PLZ
Ste 305
Visalia, CA 93291-6215
Phone (559) 741-9034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150209001595 CA Practitioner - Nurse Practitioner 5698090918 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Visalia Family Medicine Group IncGroup PAC ID 2365878014, 3 clinicians
Kaweah Delta Health Care DistrictGroup PAC ID 6608778790, shared by 17 NPIs, 110 clinicians
Central Valley Optimal Medical Care IncGroup PAC ID 5890851786, 3 clinicians

Practice addresses (Care Compare)

100 Willow PLZ
Suite 305
Visalia, CA 93291-6215
Phone (559) 741-9034

400 W Mineral King Ave
Visalia, CA 93291-6237
Phone (559) 624-2000

7181 N Millbrook Ave
Suite 112
Fresno, CA 93720-3364
Phone (559) 447-8956

840 S Akers St
Visalia, CA 93277-8309
Phone (559) 624-3741

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kaweah Delta Health Care District Current Accepting new patients
Kaweah Delta Health Care District CurrentSince Nov 26, 2014 Accepting new patients
Kaweah Delta Health Care District CurrentSince Nov 30, 2014 Accepting new patients
Kaweah Delta Health Care District CurrentSince Nov 26, 2014 Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients
Valley Hospitalist Medical Group, Inc Past Accepting new patients

Locations

1633 S Court St
Visalia, CA 93277
Phone (559) 624-6090

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

820 S Akers St
Ste 130
Visalia, CA 93277
Phone (516) 301-0937

840 S Akers St
Visalia, CA 93277
Phone (559) 624-3700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCEHAA/Endpoint/BCEHAA

Organizations & group practices 8

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639785600000",
    "number": "1023419686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILLOW PLZ",
            "address_2": "STE 305",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916215",
            "telephone_number": "559-741-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST",
            "address_2": "SUITE 900",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081826",
            "telephone_number": "510-350-2600",
            "fax_number": "510-879-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGAHIS",
        "first_name": "EUGENIA",
        "middle_name": "BRAZAL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-12",
        "last_updated": "2021-12-18",
        "certification_date": "2021-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "608974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emeryville, CA

Sources for this page

Verify at the official NPI Registry.