Active NPI
Sylvia Dolores Magallanes, CNM, RNP, MS
- Obstetrics & Gynecology Nurse Practitioner
- Fontana, CA
National Provider Identifier
1043345945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 301165
- Practice address
- 7965 Sierra Ave
Ste E
Fontana, CA 92336-3329 - Phone
- (909) 356-4459
- Fax
- (909) 355-4261
- NPI assigned
- Feb 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 301165 | CA | Primary |
| Advanced Practice Midwife | 367A00000X | 868 | CA |
Addresses
Primary practice location
7965 Sierra Ave
Ste E
Fontana, CA 92336-3329
Mailing address
7965 Sierra Ave
Ste E
Fontana, CA 92336-3329
Phone (909) 356-4459
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP 17858 | Other | CA | BRN |
| NMF 868 | Other | CA | BRN |
| NMW 868 | Other | CA | BRN |
| RN 301165 | Other | CA | BRN |
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
- Credentials
- Certified Nurse Midwife, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 868 | CA | MD | Hand Occupational Therapist |
| 301165 | CA | MD | Obstetrics & Gynecology Nurse Practitioner |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1043345945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7965 SIERRA AVE",
"address_2": "STE E",
"city": "FONTANA",
"state": "CA",
"postal_code": "923363329",
"telephone_number": "909-356-4459",
"fax_number": "909-935-5426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7965 SIERRA AVE",
"address_2": "STE E",
"city": "FONTANA",
"state": "CA",
"postal_code": "923363329",
"telephone_number": "909-356-4459",
"fax_number": "909-355-4261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGALLANES",
"first_name": "SYLVIA",
"middle_name": "DOLORES",
"credential": "CNM, RNP, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "CA",
"license": "301165",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CA",
"license": "868",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRN",
"identifier": "NP 17858",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRN",
"identifier": "NMF 868",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRN",
"identifier": "NMW 868",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRN",
"identifier": "RN 301165",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.