Individual provider Active NPI

Francis Mae Magdadaro, PMHNP

  • Clinic/Center
  • Anaheim, CA
National Provider Identifier
1376200337
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
95019232 Issued in CA
Practice address
5475 E la Palma Ave
Anaheim, CA 92807-2075
Phone
(707) 266-3795
NPI assigned
Nov 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95019232 CA
Clinic/Center 261Q00000X 95019232 CA Primary

Addresses

Primary practice location

5475 E la Palma Ave
Anaheim, CA 92807-2075

Mailing address

5475 E la Palma Ave
Anaheim, CA 92807-2075
Phone (949) 722-7118

Other practice location 1

3703 Long Beach Blvd Ste 400
Long Beach, CA 90807-3332
Phone (562) 427-3897

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Anaheim Health Information Exchange (HIE)

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
I20220607002704 CA Practitioner - Nurse Practitioner 3678951472 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aleksandra Wirga, M.D., Inc.Group PAC ID 3072649722, 12 clinicians
Progeny Psychiatric Clinic a Medical CorporationGroup PAC ID 4688904592, 33 clinicians

Practice addresses (Care Compare)

3703 Long Beach Blvd
Suite 400
Long Beach, CA 90807-3332
Phone (562) 427-3897

5475 E la Palma Ave
Suite 200
Anaheim, CA 92807-2075
Phone (949) 722-7118

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aleksandra Wirga, M.D., Inc. Clinic/Center CurrentSince May 10, 2022 Accepting new patients
Progeny TMS Corporation Clinic/Center PastSince Mar 12, 2023 Accepting new patients

Locations

3703 Long Beach Blvd
Ste 400
Long Beach, CA 90807
Phone (562) 427-3897

4201 Long Beach Blvd
Ste 203
Long Beach, CA 90807
Phone (562) 427-3897

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1376200337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 E LA PALMA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072075",
            "telephone_number": "949-722-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 E LA PALMA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072075",
            "telephone_number": "707-266-3795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3703 Long Beach Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908073332",
            "country_code": "US",
            "telephone_number": "562-427-3897",
            "fax_number": "562-309-9998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGDADARO",
        "first_name": "FRANCIS MAE",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95019232",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "95019232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Anaheim",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5475 E La Palma Ave",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928072075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.