Individual provider Active NPI

Michelle Lynn Magnusson, PA

  • Physician Assistant
  • Ventura, CA
National Provider Identifier
1497411623
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA66119 Issued in CA
Practice address
168 N Brent St Ste 505
Ventura, CA 93003-2840
Phone
(805) 648-3902
NPI assigned
Nov 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA66119 CA Primary

Addresses

Primary practice location

168 N Brent St Ste 505
Ventura, CA 93003-2840

Mailing address

168 N Brent St Ste 505
Ventura, CA 93003-2840
Phone (805) 648-3902

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
I20260210002439 CA Practitioner - Physician Assistant 3173915287 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ross Burge DO a Professional CorporationGroup PAC ID 2264859107, 3 clinicians
Thomas F Golden MD a Professional CorporationGroup PAC ID 8123104387, 2 clinicians
Casey W Pyle DO a Professional CorporationGroup PAC ID 9335565373, 2 clinicians
Stephan Sweet MD IncGroup PAC ID 9739497553, 3 clinicians

Practice addresses (Care Compare)

168 N Brent St
Suite 505
Ventura, CA 93003-2840
Phone (805) 648-3902

250 S Mills Rd
Suite 100
Ventura, CA 93003-3453
Phone (805) 648-3902

Hospital & facility affiliations

  • Livingston Memorial Visiting Nurse Association Home health agency, Ventura, CA, CCN 057040
  • St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66119CAMDPharmacist
PA66119CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas F. Golden, M.D. a Professional Corporation CurrentSince Nov 17, 2025 Accepting new patients
Ross Burge, DO, a Professional Corporation CurrentSince Nov 17, 2025 Accepting new patients
Casey W. Pyle, DO, a Professional Corporation CurrentSince Nov 17, 2025 Accepting new patients
Sahil Vohra, DO, Apc CurrentSince Nov 17, 2025 Accepting new patients
Stephan Sweet, M.D. Inc. CurrentSince Nov 17, 2025 Accepting new patients

Locations

168 N Brent St
Ste 505
Ventura, CA 93003
Phone (805) 648-3902

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1497411623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 N BRENT ST STE 505",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032840",
            "telephone_number": "805-648-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 N BRENT ST STE 505",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032840",
            "telephone_number": "805-648-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNUSSON",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-11",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA66119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.