Magdala D'Autruche, DNP-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95025778 Issued in CA

Practice address

2121 Harrison St Ste 120
Oakland, CA 94612-3788

Phone

(510) 587-3000

NPI assigned

Sep 9, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Magdala Beauvoir Former name

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Marin City Health and Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Sausalito, CA
  • NPI 1285804948
  Medicare reassignment NPD
• Marin City Health and Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Sausalito, CA
  • NPI 1902681489
  NPD
• Samuel D'Autruche, Inc

  • Adult Care Home Facility
  • Pleasant Hill, CA
  • NPI 1144764614
  NPD (past)

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1760217798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 N MARTA DR",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 HARRISON ST STE 120",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123788",
            "telephone_number": "510-587-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AUTRUCHE",
        "first_name": "MAGDALA",
        "name_prefix": "Dr.",
        "credential": "DNP-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95025778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGDALA",
            "last_name": "BEAUVOIR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steven Czifra
• Alison Czopp
• D Louis M D a Medical Corporation
• Gabriel Dominic D'Ambrosio
• Mitchell D'Arata, N.P.
• Niralli D'Costa
• Stephanie D'Costa, PLMHP
• Arthur Edward D'Harlingue, MD
• Katherine Fanny D'Harlingue, M.D.
• D'Nalor Care Homes, LLC

• Family Nurse Practitioner in Oakland, CA
• Providers in Oakland, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.