Individual provider Active NPI

Florentina Magat Ronquillo, APRN-BC, WHCNP, MSN.

  • Women's Health Nurse Practitioner
  • Modesto, CA
National Provider Identifier
1376532531
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN 399867 NPF 8989 Issued in CA
Practice address
1500 Florida Ave
Modesto, CA 95350-4408
Phone
(209) 574-1365
NPI assigned
Oct 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN 399867 NPF 8989 CA Primary

Addresses

Primary practice location

1500 Florida Ave
Modesto, CA 95350-4408

Mailing address

1910 Customer Care Way
Atwater, CA 95301-5167
Phone (209) 384-6488

Other practice location 1

900 West Main Street
Brawley, CA 92227
Phone (760) 344-9951 ext. 152

Other names 1

  • Florentina Estrella Magat Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091027000653 CA Practitioner - Nurse Practitioner 2961549720 Reassigns benefits to 2 organizations
I20150519001278 TX Practitioner - Nurse Practitioner 2961549720 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN 399867 NPF 8989CAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Centers, Inc. Current Accepting new patients
Community Medical Centers, Inc. CurrentSince May 22, 2017 Accepting new patients
La Maestra Family Clinic, Inc. CurrentSince Nov 5, 2021 Accepting new patients
La Maestra Family Clinic, Inc. CurrentSince Nov 5, 2021 Accepting new patients
Thoreau Clinic CurrentSince Apr 20, 2015 Accepting new patients
Community Medical Centers Inc CurrentSince May 22, 2017 Accepting new patients
DHHS PHS Naihs Crownpoint Hospital Current Accepting new patients
Pueblo Pintado Clinic Current Accepting new patients
La Maestra Family Clinic, Inc. Current Accepting new patients
La Maestra Family Clinic Past Accepting new patients

Locations

165 S 1st St
El Cajon, CA 92019
Phone (619) 312-0347

217 Highland Ave
National City, CA 91950
Phone (619) 280-4213

4060 Fairmount Ave
San Diego, CA 92105
Phone (619) 255-9155

701 E Channel St
Stockton, CA 95202
Phone (209) 944-4700

7210 Murray Dr
Stockton, CA 95210
Phone (209) 373-2816

730 N Central Ave
Tracy, CA 95376
Phone (209) 820-1500

Interoperability endpoints

  • Direct secure messaging: florentina.ronquillo.p1@direct.lamaestra.nextgenshare.com

Organizations & group practices 10

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1376532531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 CUSTOMER CARE WAY",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953015167",
            "telephone_number": "209-384-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 FLORIDA AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504408",
            "telephone_number": "209-574-1365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 West Main Street",
            "address_purpose": "LOCATION",
            "city": "Brawley",
            "state": "CA",
            "postal_code": "92227",
            "country_code": "US",
            "telephone_number": "760-344-9951 x152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RONQUILLO",
        "first_name": "FLORENTINA",
        "middle_name": "MAGAT",
        "credential": "APRN-BC, WHCNP, MSN.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "RN 399867  NPF 8989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FLORENTINA",
            "last_name": "MAGAT",
            "middle_name": "ESTRELLA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.