Magen Costilla

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP5017283 Issued in CA

Practice address

26600 Cactus Ave Ste 300
Moreno Valley, CA 92555-3901

Phone

(951) 988-9500

NPI assigned

May 26, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of RiversideGroup PAC ID 6507754488, 190 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Riverside University Health System-Medical Center Hospital, Moreno Valley, CA, CCN 050292

Merit-based Incentive Payment System (MIPS)

Final score

96.69 of 100Reported as group

Quality

90

Improvement activities

40

Cost

78.43

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mcostilla549560@direct.llu.edu

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.

• County of Riverside

  • Federally Qualified Health Center (FQHC)
  • Indio, CA
  • NPI 1023122967

  CA

  Medicare reassignment Care Compare group NPD
• Cep America - California

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1023063542

  CA

  Medicare reassignment NPD
• Vituity Physician Services PC

  • Family Medicine Physician
  • Fontana, CA
  • NPI 1124884176

  CA

  Medicare reassignment NPD
• County of Riverside

  • Federally Qualified Health Center (FQHC)
  • Banning, CA
  • NPI 1346353679
  Care Compare group NPD
• County of Riverside

  • Clinical Medical Laboratory
  • Riverside, CA
  • NPI 1952496010
  Care Compare group NPD
• County of Riverside

  • Federally Qualified Health Center (FQHC)
  • Riverside, CA
  • NPI 1003920943
  Care Compare group
• County of Riverside

  • Federally Qualified Health Center (FQHC)
  • Hemet, CA
  • NPI 1114031051
  Care Compare group
• County of Riverside

  • Federally Qualified Health Center (FQHC)
  • Perris, CA
  • NPI 1194839035
  Care Compare group
• County of Riverside

  • Federally Qualified Health Center (FQHC)
  • Corona, CA
  • NPI 1205940145
  Care Compare group
• County of Riverside

  • Federally Qualified Health Center (FQHC)
  • Riverside, CA
  • NPI 1356455299
  Care Compare group
• County of Riverside

  • Federally Qualified Health Center (FQHC)
  • Palm Springs, CA
  • NPI 1386758225
  Care Compare group
• County of Riverside

  • Federally Qualified Health Center (FQHC)
  • Lake Elsinore, CA
  • NPI 1396859179
  Care Compare group

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

• County of Riverside

  • General Acute Care Hospital
  • Moreno Valley, CA
  • NPI 1821159195

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1023756194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26600 CACTUS AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925553901",
            "telephone_number": "951-988-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26600 CACTUS AVE STE 300",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925553901",
            "telephone_number": "951-988-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTILLA",
        "first_name": "MAGEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP5017283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Maria-Vega Cortinas, ATC
• Arvila Anne Corwin, M.S.W.
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Jevonnie D Cotte, RN
• Sean William Couchois, DO
• County of Riverisde
• County of Riverside
• County of Riverside

• All providers in Moreno Valley, CA
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.