Active NPI
Eivor Yana Fragoso
- Day Training/Habilitation Specialist
- Sylmar, CA
National Provider Identifier
1114059409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- Practice address
- 12510 Van Nuys Blvd.
Sylmar, CA 91331 - Phone
- (818) 899-2532
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Rehabilitation Practitioner | 225400000X | |||
| Day Training/Habilitation Specialist | 373H00000X | Primary |
Addresses
Primary practice location
12510 Van Nuys Blvd.
Sylmar, CA 91331
Mailing address
12510 Van Nuys Blvd.
Sylmar, CA 91331
Phone (818) 899-2532
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": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1114059409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12510 VAN NUYS BLVD.",
"city": "SYLMAR",
"state": "CA",
"postal_code": "91331",
"telephone_number": "818-899-2532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12510 VAN NUYS BLVD.",
"city": "SYLMAR",
"state": "CA",
"postal_code": "91331",
"telephone_number": "818-899-2532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAGOSO",
"first_name": "EIVOR",
"middle_name": "YANA",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sylmar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.