Individual provider Active NPI

Joana Lynn Vicencio Magno, FNP

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1619671377
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95023407 Issued in CA
Practice address
6161 Fairmount Ave Apt 136
San Diego, CA 92120-3599
Phone
(619) 739-1574
NPI assigned
Mar 28, 2023
Last updated
Mar 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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 95023407 CA Primary

Addresses

Primary practice location

6161 Fairmount Ave Apt 136
San Diego, CA 92120-3599

Mailing address

6161 Fairmount Ave Apt 136
San Diego, CA 92120-3599
Phone (619) 739-1574

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
I20250312002707 CA Practitioner - Nurse Practitioner 0941721468 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Loma Linda, CA 92354
Phone (323) 495-4587

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Global Wound Care Medical Group CurrentSince Mar 3, 2025 Accepting new patients
Operation Samahan, Inc. CurrentSince Dec 22, 2025 Accepting new patients
Operation Samahan Inc CurrentSince Dec 22, 2025 Accepting new patients
Sakari Wound Specialists, a Professional Nursing Corporation Family CurrentSince Jan 1, 2026 Accepting new patients
Operation Samahan Inc PastSince Jul 22, 2025 Accepting new patients
Operation Samahan, Inc. Past Accepting new patients

Locations

5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861

1428 Highland Ave
National City, CA 91950
Phone (619) 245-1707

2743 Highland Ave
National City, CA 91950
Phone (619) 474-2284

180 Promenade Cir
Ste 300
Sacramento, CA 95834
Phone (916) 352-6232

10737 Camino Ruiz
Ste 235
San Diego, CA 92126
Phone (858) 578-4220

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1619671377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 FAIRMOUNT AVE APT 136",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203599",
            "telephone_number": "619-739-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 FAIRMOUNT AVE APT 136",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203599",
            "telephone_number": "619-739-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNO",
        "first_name": "JOANA LYNN",
        "middle_name": "VICENCIO",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.