Active NPI
Lisa Anne Agraso
- Neonatal Clinical Nurse Specialist
- Upland, CA
National Provider Identifier
1407700438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Clinical Nurse Specialist
- License
- 5111
- Practice address
- 999 San Bernardino Rd
Upland, CA 91786-4920 - Phone
- (909) 560-7391
- NPI assigned
- Feb 25, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Clinical Nurse Specialist | 364SN0000X | 5111 | CA | Primary |
Addresses
Primary practice location
999 San Bernardino Rd
Upland, CA 91786-4920
Mailing address
999 San Bernardino Rd
Upland, CA 91786-4920
Phone (909) 560-7391
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5111 | CA | MD | Critical Care Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771977600000",
"number": "1407700438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 SAN BERNARDINO RD",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864920",
"telephone_number": "909-560-7391",
"fax_number": "909-560-7391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 SAN BERNARDINO RD",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864920",
"telephone_number": "909-560-7391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGRASO",
"first_name": "LISA",
"middle_name": "ANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-02-25",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "364SN0000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Neonatal",
"state": "CA",
"license": "5111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.