Individual provider Active NPI

Jose Mari Atangan, FNP-C

  • Family Nurse Practitioner
  • Escondido, CA
National Provider Identifier
1427611656
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95011199 Issued in CA
Practice address
225 East Second Avenue
Escondido, CA 92025-4249
Phone
(760) 291-6700
Fax
(760) 737-7324
NPI assigned
Apr 14, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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 95011199 CA Primary

Addresses

Primary practice location

225 East Second Avenue
Escondido, CA 92025-4249

Mailing address

225 East Second Avenue
Escondido, CA 92025-4249
Phone (760) 291-6700

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
I20210225001523 CA Practitioner - Nurse Practitioner 4587098827 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Graybill Medical Group IncGroup PAC ID 9335050517, 103 clinicians
Senior Medical Associates IncGroup PAC ID 0446339469, 13 clinicians
GN Medical Associates, IncGroup PAC ID 5092605816, 40 clinicians
Del Sur HealthcareGroup PAC ID 1850827395, 61 clinicians
Metamedicine IncGroup PAC ID 1153841051, 2 clinicians

Practice addresses (Care Compare)

225 E 2ND Ave
Escondido, CA 92025-4212
Phone (866) 228-2236

2810 Camino del Rio S
Suite 102
San Diego, CA 92108-3819
Phone (619) 299-1419

3401 W Sunflower Ave
Suite 250
Santa Ana, CA 92704-6948
Phone (714) 619-8777

436 S Magnolia Ave
Suite 101
El Cajon, CA 92020-5219
Phone (760) 978-8596

5555 Grossmont Ctr Dr
La Mesa, CA 91942-3019
Phone (619) 740-6000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
GN Medical Associates, Inc. Family CurrentSince Jan 10, 2021 Accepting new patients
Graybill Medical Group Inc CurrentSince May 3, 2021 Accepting new patients
Del Sur Healthcare CurrentSince Oct 31, 2025 Accepting new patients
Careconnectmd Ca PC CurrentSince Jan 10, 2021 Accepting new patients
Metamedicine Inc CurrentSince May 1, 2025 Accepting new patients
Care Partners California Medical PC CurrentSince Jul 1, 2025 Accepting new patients
Molina Healthcare of California CurrentSince Oct 21, 2025 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Oct 21, 2025 Accepting new patients
Senior Medical Associates, Inc. CurrentSince Oct 31, 2025 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

436 S Magnolia Ave
Ste 101
El Cajon, CA 92020
Phone (760) 978-8596

625 E Grand Ave
Escondido, CA 92025
Phone (760) 745-1551

225 E 2nd Ave
Escondido, CA 92025

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

550 S Hill St
Ste 1520
Los Angeles, CA 90013

2810 Camino del Rio S
Ste 102
San Diego, CA 92108
Phone (619) 299-1419

1750 Montgomery St
Fl 1
San Francisco, CA 94111
Phone (714) 619-8777

3401 W Sunflower Ave
#250
Santa Ana, CA 92704
Phone (415) 848-8258

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jatangan20666@direct-prd.molinahealthcare.com

Organizations & group practices 9

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": "1555200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1427611656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 EAST SECOND AVENUE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254249",
            "telephone_number": "760-291-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 EAST SECOND AVENUE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254249",
            "telephone_number": "760-291-6700",
            "fax_number": "760-737-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATANGAN",
        "first_name": "JOSE MARI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-14",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.