ANITA FRAGOSO (NPI# 1932335775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932335775 |
| Entity Type | Individual |
| Full Name | ANITA FRAGOSO |
| Credential | PA-C |
| Practice Address |
133 Fourth Street Gonzales CA 93926 |
| Mailing Address |
Po Box 646 133 Fourth Street Gonzales CA 93926-0646 |
| Practice Telephone | 8316753601 |
| Practice Fax Number | 8316753966 |
| Mailing Telephone | 8316753601 |
| Mailing Fax Number | 8316753966 |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2014-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA13040 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
133 FOURTH STREET |
| City | GONZALES |
| State | CA |
| Zip Code | 93926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356355291 | Roger D Pittman | Physician Assistant | 133 Fourth Street, Gonzales, CA 93926-0646 | 2006-07-28 |
| 1851509392 | Gonzales Medical Group Inc | Family Medicine | 133 Fourth Street, Gonzales, CA 93926 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922590850 | Vanessa Herrera | Case Manager/Care Coordinator | 28496 Corda Road, Gonzales, CA 93926 | 2018-06-06 |
| 1689048241 | Clinica De Salud Del Valle De Salinas | Clinic/Center | 126 Fifth Street, Gonzalez, CA 93926 | 2015-11-19 |
| 1437549284 | Salinas Valley Memorial Health Care System | Family Medicine | 850 Fifth Street, Gonzales, CA 93926 | 2015-02-02 |
| 1144541145 | Anne Marie Baylis | Physician Assistant | 126 5th St, Gonzales, CA 93926 | 2010-06-14 |
| 1063749125 | Eminence Healthcare Monterey Inc | Clinic/Center | 501 5th Street, Gonzales, CA 93926 | 2009-11-11 |
| 1134456296 | Eminence Healthcare Monterey Inc. | Clinic/Center | 650 Elko Street, Gonzalez, CA 93926 | 2009-11-11 |
| 1174768816 | Alberto Martinez | Family Medicine | 850 Fifth St, Gonzales, CA 93926 | 2008-12-09 |
| 1336351055 | Gonzales Unified School District | Local Education Agency (LEA) | 600 Elko St., P.o. Drawer G, Gonzales, CA 93926 | 2007-05-04 |
| 1851870679 | Alison Poandl | Physician Assistant | 850 5th St, Gonzales, CA 93926 | 2018-08-13 |
| 1790232809 | Fidencio Cuevas | Specialist/Technologist | 501 5th Street, Gonzales, CA 93926 | 2016-09-07 |
| Find all providers in zip 93926 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457841025 | Kody Edmond Singleton | Physician Assistant | 1014 Saint Clair Blvd Ste 1020, Gonzales, LA 70737-5027 | 2018-05-18 |
| 1528476959 | Brooke Bridevaux Borskey | Physician Assistant | 2647 S Saint Elizabeth Blvd Ste 301, Gonzales, LA 70737-5017 | 2014-07-29 |
| 1144541145 | Anne Marie Baylis | Physician Assistant | 126 5th St, Gonzales, CA 93926 | 2010-06-14 |
| 1881848877 | Claire Allain Drummond | Physician Assistant | 723 E Highway 30, Gonzales, LA 70737-4715 | 2008-11-04 |
| 1356355291 | Roger D Pittman | Physician Assistant | 133 Fourth Street, Gonzales, CA 93926-0646 | 2006-07-28 |
| 1851870679 | Alison Poandl | Physician Assistant | 850 5th St, Gonzales, CA 93926 | 2018-08-13 |
| 1306331814 | Jessica Brianne Dettman | Physician Assistant | 1023 W Highway 30, Gonzales, LA 70737-5002 | 2018-06-27 |
| 1477080869 | Matthew Sims Fiess | Physician Assistant | 850 5th St, Gonzales, CA 93926-9491 | 2017-05-16 |
| 1558789966 | Jill Ashley Elliott | Physician Assistant | 228 Saint George St, Gonzales, TX 78629-3910 | 2014-04-02 |
| 1760748131 | Laura Frances Black | Physician Assistant | 2647 S Saint Elizabeth Blvd, Gonzales, Gonzales, LA 70737-5021 | 2012-04-10 |
| Find all providers in GONZALES | ||||
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| 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.