Healthcare Provider Details

I. General information

NPI: 1033027842
Provider Name (Legal Business Name): ISAAC MAGANA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1756 SOUTH LEWIS ROAD, CAMARILLO. CA 93012
OXNARD CA
93033-7749
US

IV. Provider business mailing address

4300 JUSTIN WAY
OXNARD CA
93033-7749
US

V. Phone/Fax

Practice location:
  • Phone: 805-607-2663
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: