Individual provider Active NPI

Kara A Magnusen, FNP-C

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1255989778
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95012418 Issued in CA
Practice address
34800 Bob Wilson Dr Ste 201
San Diego, CA 92134-9000
Phone
(619) 532-6950
NPI assigned
Aug 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 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 95012418 CA Primary

Addresses

Primary practice location

34800 Bob Wilson Dr Ste 201
San Diego, CA 92134-9000

Mailing address

3316 4TH Ave
San Diego, CA 92103-5704
Phone (310) 308-1467

Other practice location 1

250 Prospect Pl
Coronado, CA 92118-1943
Phone (619) 522-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95012418CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1255989778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035704",
            "telephone_number": "310-308-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR STE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921349000",
            "telephone_number": "619-532-6950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Prospect Pl",
            "address_purpose": "LOCATION",
            "city": "Coronado",
            "state": "CA",
            "postal_code": "921181943",
            "country_code": "US",
            "telephone_number": "619-522-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGNUSEN",
        "first_name": "KARA",
        "middle_name": "A",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.