Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Magen Costilla

Individual provider Nurse Practitioner · NPI 1023756194

Magen Costilla is a Nurse Practitioner in Moreno Valley, California. Qualified in 2020, 6 years ago. Practices with County of Riverside, a 187-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2022
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Practice location Address checks out

26600 Cactus Ave Ste 300
Moreno Valley, CA 92555-3901
Phone: (951) 988-9500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NP5017283 (CA)

Record details

NPI number1023756194
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 26, 2022
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026
Mailing address26600 Cactus Ave, Moreno Valley, CA 92555-3901

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice County Of Riverside — 187 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Moreno Valley