Active NPI
Michael Robert Magner, APRN-C
- Family Nurse Practitioner
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10061043
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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 Centers
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95032418 | CA | MD | Nurse Practitioner |
| APRN9366274 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Florida Hospital Physician Group Inc | Nurse Practitioner | Current | Accepting new patients |
| Family Health Centers | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Nurse Practitioner | Current | Accepting new patients |
| Family Health Centers | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Full Circle Orthopedics PLLC | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| VMD Primary Providers Central Florida PLLC | Nurse Practitioner | Current | Accepting new patients |
| Family Health Centers of San Diego, Inc | Current | 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 | Past | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
-
- Federally Qualified Health Center (FQHC)
- Okanogan, WA
- NPI 1609804392
-
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
Nurse Practitioner
-
- Specialist
- Clearwater, FL
- NPI 1710365572
-
- Federally Qualified Health Center (FQHC)
- Aberdeen, WA
- NPI 1811051170
Nurse Practitioner
-
- Family Medicine Physician
- Saint Cloud, FL
- NPI 1134738974
Nurse Practitioner
-
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1386689701
-
- Federally Qualified Health Center (FQHC)
- Twisp, WA
- NPI 1679962401
-
- Federally Qualified Health Center (FQHC)
- Spanaway, WA
- NPI 1922624642
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1962588426
-
- Family Medicine Physician
- Seattle, WA
- NPI 1942358817
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.