Individual provider Active NPI

Stephanie Rae Magana, MS, LMFT

  • Marriage & Family Therapist
  • Irvine, CA
National Provider Identifier
1245877562
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
116470 Issued in CA
Practice address
4255 Campus Dr Ste A245
Irvine, CA 92612-8630
Phone
(951) 790-2840
NPI assigned
Dec 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 116470 CA Primary

Addresses

Primary practice location

4255 Campus Dr Ste A245
Irvine, CA 92612-8630

Mailing address

4255 Campus Dr Ste A245
Irvine, CA 92612-8630
Phone (951) 790-2840

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CPFL372UDTY3 Health Information Exchange (HIE)

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
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1245877562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 CAMPUS DR STE A245",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926128630",
            "telephone_number": "951-790-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 CAMPUS DR STE A245",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926128630",
            "telephone_number": "951-790-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGANA",
        "first_name": "STEPHANIE",
        "middle_name": "RAE",
        "credential": "MS, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "116470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CPFL372UDTY3",
            "affiliation": "N",
            "endpointDescription": "MacBook Computer",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4255 Campus Dr Ste A245",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926128630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.