Individual provider Active NPI

Anjelika Leigh Fergerson

  • Case Manager/Care Coordinator
  • San Diego, CA
National Provider Identifier
1023657996
Registry record updated Dec 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
6160 Mission Gorge Rd Ste 108
San Diego, CA 92120-3425
Phone
(619) 481-5200
Fax
(619) 481-5217
NPI assigned
Dec 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

6160 Mission Gorge Rd Ste 108
San Diego, CA 92120-3425

Mailing address

6160 Mission Gorge Rd Ste 108
San Diego, CA 92120-3425

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Endpoint

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577145600000",
    "number": "1023657996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 MISSION GORGE RD STE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 MISSION GORGE RD STE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203425",
            "telephone_number": "619-481-5200",
            "fax_number": "619-481-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGERSON",
        "first_name": "ANJELIKA",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-24",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Endpoint",
            "affiliation": "N",
            "address_1": "6160 Mission Gorge Rd Ste 108",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921203425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.