MRS. AGNES TAGORDA ALICAR


Address: 1801 E March, Ste C-320, Stockton, CA 95210-6676
Phone: 2099575888

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 1801 E MARCH
STE C-320
City STOCKTON
State CA
Zip Code 95210-6676

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City STOCKTON
Zip Code 95210

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Dataset Information

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.

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