Individual provider Active NPI

Angelica Lopez Macen, FNP-BC

  • Family Nurse Practitioner
  • Moorpark, CA
National Provider Identifier
1053275586
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95037866 Issued in CA
Practice address
885 Patriot Dr Ste F
Moorpark, CA 93021-3353
Phone
(805) 334-1371
NPI assigned
Dec 10, 2025
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
95037866CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fma Family Practice Inc CurrentSince Dec 14, 2025 Accepting new patients
Tony Makhlouf MD Inc PastSince Nov 9, 2016 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.

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

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.

Verify at the official NPI Registry.