MR. DARREL MADRIAGA MOLINA (FNP-BC) – Family Nurse Practitioner, NPI 1639689284

MR. DARREL MADRIAGA MOLINA (FNP-BC) is a healthcare provider. based in Thousand oaks, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. NP95007041 (CA). The NPI Number for MR. DARREL MADRIAGA MOLINA (FNP-BC) is 1639689284

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MR. DARREL MADRIAGA MOLINA (FNP-BC)
NPI
1639689284
Phone
(866) 389-2727
Address
2791 AGOURA RD
Enumeration Date
10 October 2017
Last Update Date
7 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8776080044
Graduation Year
2017 (9 years ago)
PAC ID
0648697995
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20200901001069
Address ID
CA913252608NO8999XBLVD300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

16,538 NURSE PRACTITIONER in CA

Provider Addresses for MR. DARREL MADRIAGA MOLINA (FNP-BC)

  • 2791 AGOURA RD

    THOUSAND OAKS, CA 913613101

    Phone: (866) 389-2727

    Type: Location

  • 511, North Hollywood Way, Burbank, Los Angeles County, California, 91505, United States

    BURBANK, CA 915053406

    Phone: (818) 841-0710

    Type: Mailing

  • 24355 Lyons Ave Ste 130

    Newhall, CA 913212323

    Phone: (661) 255-9355

    Type: Location

  • 511 N Hollywood Way

    Burbank, CA 915053406

    Phone: (818) 841-0710

    Type: Location

  • 1 CVS DR

    WOONSOCKET, RI 028956146

    Phone: (818) 841-0710

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $1,147.

Total Amount is formed as General ($1,147) + Research ($0) + Ownership ($0) = $1,147.

Last reported payment date: 2024-08-01 • Largest payer in this snapshot: Novo Nordisk Inc ($244).

Total Amount

$1,147

General + Research + Ownership

Payments

10

Total payment records

General Amount

$1,147

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-09-01

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200901001069INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0008Administration of influenza virus vaccine110110$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage105105$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus4643$0
0134AAdm sarscv2 bvl 50mcg/.5ml a3434$0
90480Admn sarscov2 vacc 1 dose3333$0
View full utilization report →

Insurance plans in this area (ZIP 91361)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Physician AssistantCA
N E U R O L O G YCA
Internal MedicineCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Family Practice, Sports MedicineCA
Internal MedicineNY

Reviews

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Frequently asked questions

Does MR. DARREL MADRIAGA MOLINA (FNP-BC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. DARREL MADRIAGA MOLINA (FNP-BC) uses 1639689284.
Does the file indicate MR. DARREL MADRIAGA MOLINA (FNP-BC) is practicing under active NPI?
Directory data currently reports MR. DARREL MADRIAGA MOLINA (FNP-BC) as active.
What taxonomy line describes MR. DARREL MADRIAGA MOLINA (FNP-BC)?
For research purposes, treat MR. DARREL MADRIAGA MOLINA (FNP-BC) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MR. DARREL MADRIAGA MOLINA (FNP-BC) on a map?
Expect Thousand Oaks, California as a primary anchor for MR. DARREL MADRIAGA MOLINA (FNP-BC) unless the record lists multiple sites.
Why does MR. DARREL MADRIAGA MOLINA (FNP-BC) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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