Individual provider Active NPI

Teresa Magana, FNP

  • Primary Care Nurse Practitioner
  • Stockton, CA
National Provider Identifier
1891884334
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
11924 Issued in CA
Practice address
1503 E March LN Ste a
Stockton, CA 95210-5622
Phone
(209) 462-7277
Fax
(866) 950-0134
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11924 CA
Primary Care Nurse Practitioner 363LP2300X 11924 CA Primary

Addresses

Primary practice location

1503 E March LN Ste a
Stockton, CA 95210-5622

Mailing address

PO Box 1434
Lodi, CA 95241-1434
Phone (209) 462-7277

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
I20220404002550 CA Practitioner - Nurse Practitioner 0042512071 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1919 Grand Canal Blvd
Suite C4
Stockton, CA 95207-8114
Phone (209) 888-8602

Hospital & facility affiliations

  • Mark Twain Medical Center Hospital, San Andreas, CA, CCN 051332

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fusion Health Apc CurrentSince Apr 29, 2025 Accepting new patients
Shapiro Chiropractic Inc. CurrentSince Apr 29, 2025 Accepting new patients
Gill Medical Associates, Inc. CurrentSince Jan 10, 2022 Accepting new patients

Locations

832 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-3797

1919 Grand Canal Blvd
Ste C4
Stockton, CA 95207
Phone (209) 956-8737

2087 Grand Canal Blvd
Ste 12
Stockton, CA 95207
Phone (209) 888-8602

1503 E March Ln
Ste A
Stockton, CA 95210
Phone (209) 315-0400

1503 E March Ln
Stockton, CA 95210
Phone (209) 462-7277

Interoperability endpoints

  • Direct secure messaging: teresa.magana.p1@direct.cmcentersinc.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.

Hospital & facility affiliations 1

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1891884334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1434",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952411434",
            "telephone_number": "209-462-7277",
            "fax_number": "866-950-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 E MARCH LN STE A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952105622",
            "telephone_number": "209-462-7277",
            "fax_number": "866-950-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGANA",
        "first_name": "TERESA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "11924",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "11924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.