Active NPI
Teresa Magana, FNP
- Primary Care Nurse Practitioner
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 11924
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fusion Health Apc | Current | Accepting new patients | |
| Shapiro Chiropractic Inc. | Current | Accepting new patients | |
| Gill Medical Associates, Inc. | Current | 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
- 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.
-
- Nurse Practitioner
- Stockton, CA
- NPI 1912748252
-
- Internal Medicine Physician
- Stockton, CA
- NPI 1578149076
-
- Chiropractor
- Stockton, CA
- NPI 1669635744
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- San Andreas, CA
- NPI 1508968819
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.