Individual provider Active NPI

Michael Robert Magner, APRN-C

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1922194653
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10061043 Issued in OR
Practice address
4094 4TH Ave
San Diego, CA 92103-2143
Phone
(619) 515-2545
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95032418 CA
Family Nurse Practitioner 363LF0000X APRN9366274 FL
Family Nurse Practitioner 363LF0000X 10061043 OR Primary
Family Nurse Practitioner 363LF0000X AP61552283 WA

Addresses

Primary practice location

4094 4TH Ave
San Diego, CA 92103-2143

Mailing address

823 Gateway Center Way
San Diego, CA 92102-4541
Phone (619) 515-2300

Other practice location 1

3801 150th Ave SE
Bellevue, WA 98006-1668
Phone (425) 460-7140

Other practice location 2

728 Molalla Ave
Oregon City, OR 97045-2799
Phone (503) 656-9030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WA, CA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20140206000805 FL Practitioner - Nurse Practitioner 9638310469 Reassigns benefits to 3 organizations
I20241231003343 WA Practitioner - Nurse Practitioner 9638310469 Reassigns benefits to 2 organizations
I20250425001801 CA Practitioner - Nurse Practitioner 9638310469 Reassigns benefits to 1 organization

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
Sea Mar Community Health CentersGroup PAC ID 7315831161, shared by 37 NPIs, 235 clinicians

Practice addresses (Care Compare)

1811 156TH Ave NE
Bellevue, WA 98007-4344
Phone (425) 460-7125

3801 150TH Ave SE
Bellevue, WA 98006-1668
Phone (425) 460-7140

8720 14TH Ave S
Seattle, WA 98108-4807
Phone (206) 762-3730

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95032418CAMDNurse Practitioner
APRN9366274FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers CurrentSince Oct 27, 2025 Accepting new patients
Florida Hospital Physician Group Inc Nurse Practitioner CurrentSince Jun 1, 2017 Accepting new patients
Family Health Centers CurrentSince Oct 11, 2024 Accepting new patients
Sea Mar Community Health Centers Nurse Practitioner Current Accepting new patients
Family Health Centers CurrentSince Oct 11, 2024 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince May 19, 2025 Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients
Full Circle Orthopedics PLLC CurrentSince Dec 12, 2022 Accepting new patients
Sea Mar Community Health Centers CurrentSince Oct 27, 2025 Accepting new patients
VMD Primary Providers Central Florida PLLC Nurse Practitioner CurrentSince Aug 1, 2023 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince May 19, 2025 Accepting new patients
Sea-Mar Community Health Center Past Accepting new patients
Utterback Chiropractic, LLC Past Accepting new patients
VMD Primary Providers Central Florida PLLC PastSince May 8, 2022 Accepting new patients

Locations

4094 4th Ave
San Diego, CA 92103
Phone (619) 515-2545

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

1528 Lakeview Rd
Clearwater, FL 33756
Phone (727) 446-5633

4404 S Highway 27
Clermont, FL 34711

1477 Main St
Dunedin, FL 34698
Phone (727) 733-3176

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

35111 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 210-0760

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

3801 150th Ave SE
Bellevue, WA 98006
Phone (425) 460-7140

1003 Koala Dr
Omak, WA 98841
Phone (509) 422-1913

8720 14th Ave S
Seattle, WA 98108
Phone (206) 762-3730

Interoperability endpoints

  • Direct secure messaging: mmagner862884@direct.multicare.org

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1922194653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 GATEWAY CENTER WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921024541",
            "telephone_number": "619-515-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4094 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032143",
            "telephone_number": "619-515-2545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 150th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980061668",
            "country_code": "US",
            "telephone_number": "425-460-7140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "728 Molalla Ave",
            "address_purpose": "LOCATION",
            "city": "Oregon City",
            "state": "OR",
            "postal_code": "970452799",
            "country_code": "US",
            "telephone_number": "503-656-9030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGNER",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95032418",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9366274",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10061043",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61552283",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.