Individual provider Active NPI

Magdalena G. Buslon, R.N.P.

  • Adult Health Nurse Practitioner
  • Northridge, CA
National Provider Identifier
1912911264
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN214913 Issued in CA
Practice address
18111 Nordhoff St
Northridge, CA 91330-8270
Phone
(818) 677-3666
Fax
(818) 677-2304
NPI assigned
Jul 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN214913 CA Primary

Addresses

Primary practice location

18111 Nordhoff St
Northridge, CA 91330-8270

Mailing address

8801 Independence Ave Apt 22
Canoga Park, CA 91304-1719
Phone (818) 700-9870

Other identifiers 1

IdentifierTypeStateIssuer
GR0094830OtherCAMEDI-CAL/FPACT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN214913CAMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912911264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 INDEPENDENCE AVE APT 22",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913041719",
            "telephone_number": "818-700-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18111 NORDHOFF ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913308270",
            "telephone_number": "818-677-3666",
            "fax_number": "818-677-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSLON",
        "first_name": "MAGDALENA",
        "middle_name": "G.",
        "credential": "R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "RN214913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL/FPACT",
            "identifier": "GR0094830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.