Individual provider Active NPI

Magdiel De la Rosa, AGACNP

  • Acute Care Nurse Practitioner
  • Santa Ana, CA
National Provider Identifier
1669845186
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP Issued in TX
Practice address
3401 W Sunflower Ave Ste 250
Santa Ana, CA 92704-6945
Phone
(888) 789-9585
NPI assigned
Nov 5, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP TX Primary

Addresses

Primary practice location

3401 W Sunflower Ave Ste 250
Santa Ana, CA 92704-6945

Mailing address

3401 W Sunflower Ave Ste 250
Santa Ana, CA 92704-6945
Phone (888) 789-9585

Other practice location 1

919 E 32nd St
Austin, TX 78705
Phone (512) 476-7111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160107000218 TX Practitioner - Nurse Practitioner 1254633399 Reassigns benefits to 5 organizations
I20200811002408 CA Practitioner - Nurse Practitioner 1254633399 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Integrated Acute Care Services of Texas, PLLCGroup PAC ID 7618237264, 398 clinicians
Ipc Healthcare Services of Texas PLLCGroup PAC ID 3971824939, 184 clinicians

Practice addresses (Care Compare)

1201 W 38TH St
Austin, TX 78705-1006
Phone (512) 324-1000

1500 Red River St
Austin, TX 78701-1918
Phone (512) 324-0150

2000 Scenic Dr
Georgetown, TX 78626-7726
Phone (512) 942-4146

201 Seton Pkwy
Round Rock, TX 78665-8000
Phone (512) 324-4000

260 Cully Dr
Kerrville, TX 78028-5950
Phone (830) 258-7747

3501 Mills Ave
Austin, TX 78731-6309
Phone (512) 324-1017

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5125

7900 FM
Suite 1826
Austin, TX 78737-1407
Phone (512) 324-9000

Hospital & facility affiliations

  • Ascension Seton Medical Center Austin Hospital, Austin, TX, CCN 450056
  • Ascension Seton Williamson Hospital, Round Rock, TX, CCN 670041
  • Ascension Seton Hays Hospital, Kyle, TX, CCN 670056
  • St David'S Medical Center Hospital, Austin, TX, CCN 450431
  • Ascension Seton Southwest Hospital, Austin, TX, CCN 450865

Merit-based Incentive Payment System (MIPS)

Final score
75.55 of 100Reported as group
Quality
70.56
Improvement activities
40
Cost
72.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APTXMDNeonatal Intensive Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnectmd Ca PC CurrentSince Feb 1, 2021 Accepting new patients
Kansal Inc CurrentSince Jul 1, 2021 Accepting new patients
Usacs Integrated Acute Care Services of Texas, PLLC CurrentSince Sep 25, 2024 Accepting new patients
Ipc Healthcare Services of Texas, PLLC CurrentSince Oct 1, 2018 Accepting new patients
Hospital Medicine Associates of TX PA CurrentSince Sep 4, 2020 Accepting new patients
Usacs Observation Medicine Services of Texas PLLC CurrentSince Sep 10, 2024 Accepting new patients
Hospitalist Medicine Physicians of California, Inc CurrentSince Jul 1, 2021 Accepting new patients
GN Medical Associates, Inc. CurrentSince Jul 6, 2020 Accepting new patients
Lonestar Hospital Medicine Associates, PA CurrentSince Feb 1, 2016 Accepting new patients
Surgeons Who Only Care for Kids, PA PastSince Feb 1, 2016 Accepting new patients

Locations

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

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

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

3401 W Sunflower Ave
Ste 250
Santa Ana, CA 92704
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

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

1500 Red River St
Austin, TX 78701
Phone (512) 324-0150

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323

2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

Organizations & group practices 10

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 5

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": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1669845186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 W SUNFLOWER AVE STE 250",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046945",
            "telephone_number": "888-789-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 W SUNFLOWER AVE STE 250",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046945",
            "telephone_number": "888-789-9585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "919 E 32nd St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "78705",
            "country_code": "US",
            "telephone_number": "512-476-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LA ROSA",
        "first_name": "MAGDIEL",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-05",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.