Individual provider Active NPI

Magdalena M Austin, FNP-C

  • Nurse Practitioner
  • Fountain Valley, CA
National Provider Identifier
1982350385
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95020244 Issued in CA
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221116002507 CA Practitioner - Nurse Practitioner 0446628804 Reassigns benefits to 4 organizations

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
Reddy Urgent Care IncGroup PAC ID 4284884982, 14 clinicians
Alpha Hospitalist Group IncGroup PAC ID 7719266006, 14 clinicians

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

LicenseStateTypeSpecialty
95020244CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oc Urgentcare Medical Group Incorporated Current Accepting new patients
Reddy Urgent Care,Inc CurrentSince Jun 19, 2023 Accepting new patients
Oc Urgentcare Medical Group Incorporated CurrentSince May 6, 2023 Accepting new patients
Southern California Permanente Medical Group CurrentSince Dec 10, 2023 Accepting new patients
Southern California Permanente Medical Group CurrentSince Dec 10, 2023 Accepting new patients
Intellicare Home Health LLC Current Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Alpha Hospitalist Group Inc CurrentSince Oct 1, 2022 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADEBBD
  • Direct secure messaging: 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.

FacilityTypeRoleSince
Intellicare Home Health LLCMission Viejo, CA, CCN 758152 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.

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.