Anna Olivia Fragoso-Nino, C-PNP
Nurse Practitioner, Pediatrics in Victorville, CA. Individual provider (NPI-1).
NPI number1124447313
StatusActive
Last updated in NPPESMar 28, 2022
Details
- NPI
- 1124447313
- Entity type
- Individual (NPI-1)
- Name
- Miss Anna Olivia Fragoso-Nino
- Credential
- C-PNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 15, 2014
- Certification date
- Mar 28, 2022
- Last updated
- Mar 28, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 21714 | CA | Yes |
Other names
- Anna O Fragoso (Former Name)
Practice location
14446 Tawney Ridge LnVictorville, CA 92394-3210
Phone 760-221-4726
Mailing address
14446 Tawney Ridge LnVictorville, CA 92394-3210
Phone 760-221-4726
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Pediatric Nurse Practitioner providers in Victorville, CA
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.