MRS. AGNES TAGORDA ALICAR (NPI# 1629240049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629240049 |
| Entity Type | Individual |
| Full Name | MRS. AGNES TAGORDA ALICAR |
| Credential | NURSE PRACTITIONER |
| Practice Address |
1801 E March Ste C-320 Stockton CA 95210-6676 |
| Mailing Address |
1801 E March Lane Ste C-320 Stockton CA 95210-6676 |
| Practice Telephone | 2099575888 |
| Practice Fax Number | 2094779339 |
| Mailing Telephone | 2099575888 |
| Mailing Fax Number | 2094779337 |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN585873 | CA | Nursing Service Providers |
| N | 163WC1500X |
Registered Nurse Specialization: Community Health |
PHN69084 | CA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP17392 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1801 E MARCH STE C-320 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95210-6676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1043866692 | Alexis Thomasson | Behavior Technician | 7109 Danny Drive, Stockton, CA 95210 | 2019-08-09 |
| 1821651324 | Maria Guadalupe Toledo | Lactation Consultant, Non-RN | 7912 Hammer Lane, Stockton, CA 95210 | 2019-04-19 |
| 1508226440 | Active Life Adult Day Care, Inc. | Clinic/Center | 7209 Tam O'shanter Dr., Stockton, CA 95210 | 2016-03-04 |
| 1548631260 | Rachel Standley | Substance Abuse Rehabilitation Facility | 8017 El Cajon St, Stockton, CA 95210 | 2015-10-08 |
| 1225435308 | Active Life Medical Produtcs Inc | Durable Medical Equipment & Medical Supplies | 611 W Grider Way, Stockton, CA 95210 | 2014-12-04 |
| 1942633318 | Kimberly Ruiz Dizon | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210 | 2013-08-20 |
| 1285920983 | Supplemental Health Care | Preferred Provider Organization | 8425 Kiltie Wy, Stockton, CA 95210 | 2011-06-22 |
| 1770807901 | Stockton Medical Weight Loss Center Inc | Internal Medicine | 1801 E. March Lane, Suite 400d, Stockton, CA 95210 | 2010-03-17 |
| 1699911412 | Pratap Krishna Anne | Pharmacist | 1801 E.march Ln, Suite:b280, Bjrx, Stockton, CA 95210 | 2008-12-29 |
| Find all providers in zip 95210 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710535141 | Edith Reyes | Nurse Practitioner | 4815 Palmer Ave, Stockton, CA 95215-1824 | 2019-08-28 |
| 1275099418 | Angelica May Palomares Santos | Nurse Practitioner | 3733 Sanguinetti Ln, Stockton, CA 95205-2580 | 2019-02-12 |
| 1972074821 | Usha R Vyas | Nurse Practitioner | 415 E Harding Way Ste D, Stockton, CA 95204-6118 | 2018-12-17 |
| 1437672722 | Margie Belinda Nudo Aquino | Nurse Practitioner | 3518 Cape York Ct., Stockton, CA 95206 | 2017-07-19 |
| 1033568860 | Jennifer Yana | Nurse Practitioner | 10200 Trinity Pkwy Ste 202, Stockton, CA 95219-7288 | 2016-06-13 |
| 1235595067 | Tiffanie Dai | Nurse Practitioner | 4719 Quail Lakes Dr Ste G, Pmb#274, Stockton, CA 95207-5267 | 2016-01-08 |
| 1265716542 | Sandeep K Bhangoo | Nurse Practitioner | 2351 W March Ln, Suite A, Stockton, CA 95207-5292 | 2011-10-04 |
| 1043522659 | Ketty Ukpong Uweh | Nurse Practitioner | 644 E Harding Way Ste B, Stockton, CA 95204-6103 | 2010-07-12 |
| 1134198286 | Mary Catherine Raymond | Nurse Practitioner | 530 W Acacia St Ste 1, Stockton, CA 95203-2400 | 2006-03-14 |
| 1124094545 | Luann K Jordan | Nurse Practitioner | 725 N Pearl St, Stockton, IL 61085-9267 | 2006-02-25 |
| Find all providers in STOCKTON | ||||
Please comment or provide details below to improve the information on MRS. AGNES TAGORDA ALICAR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.