Active NPI
Angelica Lopez Macen, FNP-BC
- Family Nurse Practitioner
- Moorpark, CA
National Provider Identifier
1053275586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95037866
- Practice address
- 885 Patriot Dr Ste F
Moorpark, CA 93021-3353 - Phone
- (805) 334-1371
- NPI assigned
- Dec 10, 2025
- Last updated
- Dec 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95037866 | CA | Primary |
Addresses
Primary practice location
885 Patriot Dr Ste F
Moorpark, CA 93021-3353
Mailing address
885 Patriot Dr Ste F
Moorpark, CA 93021-3353
Phone (805) 334-1371
Other practice location 1
143 Parrot Ln
Simi Valley, CA 93065-3151
Phone (805) 842-1793
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95037866 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fma Family Practice Inc | Current | Accepting new patients | |
| Tony Makhlouf MD Inc | Past | Accepting new patients | |
| Orion Medical Group | Past | Accepting new patients |
Locations
885 Patriot Dr
Ste F
Moorpark, CA 93021
Phone (805) 334-1371
Organizations & group practices 3
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.
-
dba Patriot Family Medicine
- Family Medicine Physician
- Moorpark, CA
- NPI 1114308343
-
- Internal Medicine Physician
- Agoura Hills, CA
- NPI 1710145164
-
- Rheumatology Physician
- Simi Valley, CA
- NPI 1467995951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1053275586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "885 PATRIOT DR STE F",
"city": "MOORPARK",
"state": "CA",
"postal_code": "930213353",
"telephone_number": "805-334-1371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "885 PATRIOT DR STE F",
"city": "MOORPARK",
"state": "CA",
"postal_code": "930213353",
"telephone_number": "805-334-1371"
}
],
"practiceLocations": [
{
"address_1": "143 Parrot Ln",
"address_purpose": "LOCATION",
"city": "Simi Valley",
"state": "CA",
"postal_code": "930653151",
"country_code": "US",
"telephone_number": "805-842-1793",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACEN",
"first_name": "ANGELICA",
"middle_name": "LOPEZ",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-10",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95037866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moorpark, CA
- Cecilia Lopez, PA
- Los Robles Regional Medical Center (Los Robles Imaging Center, a department of Los Robles Hospital and Medical Center)
- Melissa Lumley
- Luxottica of America Inc. (Target #6743)
- M.Welikala DMD., a Professional Corp (Care Dental Office)
- Christopher M Macmannis, CMT
- Lilia Michelle Magana, PPS
- Majesticare Health and Rehab Center of Moorpark (Moorpark Health Care Center)
- Vance J Manakas, MS ATC
- Mark R Winkler MD PA Professional Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.