Individual provider Active NPI

Evelyn Magdaleno, NP

  • Family Nurse Practitioner
  • Oxnard, CA
National Provider Identifier
1134891732
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95018636 Issued in CA
Practice address
325 W Channel Islands Blvd
Oxnard, CA 93033-4501
Phone
(805) 240-7000
NPI assigned
Oct 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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 95018636 CA Primary

Addresses

Primary practice location

325 W Channel Islands Blvd
Oxnard, CA 93033-4501

Mailing address

325 W Channel Islands Blvd
Oxnard, CA 93033-4501
Phone (805) 240-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address evelyn.magdaleno@ventura.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220624000793 CA Practitioner - Nurse Practitioner 8022497882 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95018636CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince Feb 20, 2024 Accepting new patients
County of Ventura Current Accepting new patients
County of Ventura CurrentSince Feb 20, 2024 Accepting new patients
County of Ventura Current Accepting new patients

Locations

325 W Channel Islands Blvd
Oxnard, CA 93033
Phone (805) 204-9500

1901 Outlet Center Dr
Ste 200
Oxnard, CA 93036
Phone (805) 981-8300

2400 S C St
Oxnard, CA 93033
Phone (805) 240-7000

800 S Victoria Ave
#L4640
Ventura, CA 93009

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1134891732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W CHANNEL ISLANDS BLVD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930334501",
            "telephone_number": "805-240-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W CHANNEL ISLANDS BLVD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930334501",
            "telephone_number": "805-240-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGDALENO",
        "first_name": "EVELYN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-01",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "evelyn.magdaleno@ventura.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Direct Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Information",
            "address_1": "325 W Channel Islands Blvd",
            "city": "Oxnard",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930334501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.