Individual provider Active NPI

Phoebe France Agana Cinco, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • El Cajon, CA
National Provider Identifier
1326682725
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95012735 Issued in CA
Practice address
228 Noden St
El Cajon, CA 92020-6315
Phone
(619) 885-6868
NPI assigned
Oct 30, 2019
Last updated
Nov 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95012735 CA Primary

Addresses

Primary practice location

228 Noden St
El Cajon, CA 92020-6315

Mailing address

228 Noden St
El Cajon, CA 92020-6315
Phone (619) 882-6868

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

State licenses

LicenseStateTypeSpecialty
95012735CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1326682725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 NODEN ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920206315",
            "telephone_number": "619-882-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 NODEN ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920206315",
            "telephone_number": "619-885-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CINCO",
        "first_name": "PHOEBE FRANCE",
        "middle_name": "AGANA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.