Individual provider Active NPI

Frida C Vargas, FNP

  • Family Nurse Practitioner
  • La Jolla, CA
National Provider Identifier
1518630979
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95017249 Issued in CA
Practice address
9500 Gilman Dr
La Jolla, CA 92093-1546
Phone
(619) 721-7674
NPI assigned
Jul 30, 2021
Last updated
Jun 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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 95017249 CA Primary

Addresses

Primary practice location

9500 Gilman Dr
La Jolla, CA 92093-1546

Mailing address

PO Box 1104
Bonita, CA 91908-1104
Phone (619) 721-7674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220216000298 CA Practitioner - Nurse Practitioner 6103219183 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Medical Associates, Inc. CurrentSince Feb 4, 2022 Accepting new patients
Hassan Kafri MD, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Good Heart Medical Group a Professional Corporation CurrentSince Dec 1, 2025 Accepting new patients
Zocalo Medical Group Ca CurrentSince Dec 17, 2025 Accepting new patients
Calicarehealth LLC Current Accepting new patients
Concertocare Medical Group of California, P.C. Past Accepting new patients

Locations

429 Broadway
Chula Vista, CA 91910
Phone (619) 434-0204

450 Fourth Ave
Ste 215
Chula Vista, CA 91910
Phone (512) 375-3210

480 Fourth Ave
Ste 401
Chula Vista, CA 91910
Phone (619) 337-0190

2810 Camino del Rio S
Ste 102
San Diego, CA 92108
Phone (619) 299-1419

1220 Hemlock Way
Ste 204
Santa Ana, CA 92707
Phone (714) 266-1666

214 E Walnut St
Santa Ana, CA 92701
Phone (213) 855-3465

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1518630979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1104",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919081104",
            "telephone_number": "619-721-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 GILMAN DR",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920931546",
            "telephone_number": "619-721-7674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "FRIDA",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2023-06-12",
        "certification_date": "2021-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.