Rhodora De la Pena Magtibay, NP/ AGNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP95007614 Issued in CA

Practice address

6608 Mercy CT Ste B
Fair Oaks, CA 95628-3171

Phone

(916) 241-9844

NPI assigned

Dec 7, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memory Check Psychological Services, a Professional CorporationGroup PAC ID 7416856422, 78 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Memory Check Psychological Services, a Professional Corporation

  • Clinical Psychologist
  • Carlsbad, CA
  • NPI 1912184219
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1396250676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6608 MERCY CT STE B",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283171",
            "telephone_number": "916-241-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6608 MERCY CT STE B",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283171",
            "telephone_number": "916-241-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGTIBAY",
        "first_name": "RHODORA",
        "middle_name": "DE LA PENA",
        "name_prefix": "Mrs.",
        "credential": "NP/ AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-07",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "839678",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95007614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Machado
• Mackenzie LLC
• Matthew Scott Maclellan
• Madison Modern Dentistry, Inc
• Madeline Maestretti
• Lauren Kristina Mahakian, LCSW
• Mahal Dental Corp,Inc.
• Isha Mahoi
• Julia Anne Schell Maloley, MA, APCC
• Heather Diane Maloney, MA, CCC-SLP

• Nurse Practitioner in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.