Individual provider Active NPI

Lorena Magana Magana, PA-C

  • Medical Physician Assistant
  • Atwater, CA
National Provider Identifier
1457334096
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA15716 Issued in CA
Practice address
3605 Hospital Rd
Atwater, CA 95301-5173
Phone
(209) 381-2000
Fax
(209) 384-2341
NPI assigned
Nov 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA15716 CA Primary

Addresses

Primary practice location

3605 Hospital Rd
Atwater, CA 95301-5173

Mailing address

3605 Hospital Rd
Atwater, CA 95301-5173
Phone (209) 381-2000

Other identifiers 1

IdentifierTypeStateIssuer
1048610OtherCANCCPA #

Other names 1

  • Lorena Magana Former name

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
I20041213001066 CA Practitioner - Physician Assistant 1759348527 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Castle Family Health Centers Inc CurrentSince Mar 27, 2013 Accepting new patients
Castle Family Health Centers Inc CurrentSince Mar 27, 2013 Accepting new patients
Castle Family Health Centers Inc. CurrentSince Mar 27, 2013 Accepting new patients

Locations

3605 Hospital Rd
Atwater, CA 95301
Phone (209) 381-2000

Interoperability endpoints

  • Direct secure messaging: lorena.magana.p1@direct.castle.nextgenshare.com

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1457334096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 HOSPITAL RD",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953015173",
            "telephone_number": "209-381-2000",
            "fax_number": "209-384-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 HOSPITAL RD",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953015173",
            "telephone_number": "209-381-2000",
            "fax_number": "209-384-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGANA",
        "first_name": "LORENA",
        "middle_name": "MAGANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA15716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA #",
            "identifier": "1048610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORENA",
            "last_name": "MAGANA",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atwater, CA

Sources for this page

Verify at the official NPI Registry.