Active NPI
Magdalena M Austin, FNP-C
- Nurse Practitioner
- Fountain Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95020244
- Practice address
- 17150 Euclid St Ste 200
Fountain Valley, CA 92708-4092 - Phone
- (800) 641-4651
- NPI assigned
- Feb 23, 2022
- Last updated
- Dec 22, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95020244 | CA | Primary |
Addresses
Primary practice location
17150 Euclid St Ste 200
Fountain Valley, CA 92708-4092
Mailing address
17150 Euclid St Ste 200
Fountain Valley, CA 92708-4092
Phone (949) 412-5383
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
123 Atlantic Ave
Suite B
Long Beach, CA 90802-5121
Phone (562) 209-1569
17100 Euclid St
Fountain Valley, CA 92708-4004
Phone (714) 966-7200
990 Avenida Vista Hermosa
San Clemente, CA 92673-6360
Phone (949) 456-8668
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95020244 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oc Urgentcare Medical Group Incorporated | Current | Accepting new patients | |
| Reddy Urgent Care,Inc | Current | Accepting new patients | |
| Oc Urgentcare Medical Group Incorporated | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Intellicare Home Health LLC | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Alpha Hospitalist Group Inc | Current | Accepting new patients |
Locations
441 N Lakeview Ave
Anaheim, CA 92807
Phone (714) 279-4000
5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088
631 S Brookhurst St
Ste 101
Anaheim, CA 92804
Phone (714) 991-5700
26781 Portola Pkwy
Ste 4E
Foothill Rnch, CA 92610
Phone (949) 251-1502
17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200
17150 Euclid St
Ste 200
Fountain Vly, CA 92708
Phone (714) 751-0995
23653 El Toro Rd
Ste B
Lake Forest, CA 92630
Phone (714) 847-3030
123 Atlantic Ave
Long Beach, CA 90802
Phone (562) 436-8294
123 Atlantic Ave
Ste B
Long Beach, CA 90802
Phone (562) 209-1569
4237 Atlantic Ave
Long Beach, CA 90807
Phone (562) 336-1656
4288 Katella Ave
Los Alamitos, CA 90720
Phone (562) 296-8514
393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235
990 Avenida Vista Hermosa
San Clemente, CA 92673
Phone (949) 456-8397
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ADEBBD
- magdalena.austin@78.securemail.prognocis.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Intellicare Home Health LLC | Home health agency | 5% Or Greater Direct Ownership Interest (34%) Corporate Officer Corporate Director W-2 Managing Employee |
Feb 16, 2024 Feb 16, 2024 Feb 16, 2024 Feb 16, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Mission Viejo, CA
- NPI 1396501375
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Fountain Valley, CA
- NPI 1982086914
-
- Urgent Care Clinic/Center
- Long Beach, CA
- NPI 1093062473
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Urgent Care Clinic/Center
- Anaheim, CA
- NPI 1083940597
-
- Home Health Agency
- Mission Viejo, CA
- NPI 1396501375
-
dba Oc Urgent Care Anaheim 2
- Urgent Care Clinic/Center
- Anaheim, CA
- NPI 1124692314
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
dba Target Clinic Medical Associates of Southern California
- Health Maintenance Organization
- Fullerton, CA
- NPI 1336556059
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
-
dba University of California Irvine - Cac Urgent Care
- Urgent Care Clinic/Center
- Irvine, CA
- NPI 1518739309
Hospital
-
dba Uci Health
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703203200000",
"number": "1982350385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17150 EUCLID ST STE 200",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084092",
"telephone_number": "949-412-5383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17150 EUCLID ST STE 200",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084092",
"telephone_number": "800-641-4651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "MAGDALENA",
"middle_name": "M",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-23",
"last_updated": "2023-12-22",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95020244",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "441 N Lakeview Ave",
"city": "Anaheim",
"state": "CA",
"country_code": "US",
"postal_code": "928073028",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.