Individual provider Active NPI

Annais Troncoso, MSN, FNP-C

  • Nurse Practitioner
  • Imperial, CA
National Provider Identifier
1568050169
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95016066 Issued in CA
Practice address
2402 Imperial Business Park Dr Ste 101
Imperial, CA 92251-4004
Phone
(760) 355-5267
Fax
(760) 355-5248
NPI assigned
Jan 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 95016066 CA Primary

Addresses

Primary practice location

2402 Imperial Business Park Dr Ste 101
Imperial, CA 92251-4004

Mailing address

2402 Imperial Business Park Dr Ste 101
Imperial, CA 92251-4004
Phone (760) 234-6068

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL IMPERIAL

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
I20250213003316 CA Practitioner - Nurse Practitioner 8628508066 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Valley Family Care Medical Group, Apc Single Specialty CurrentSince Jul 4, 2025 Accepting new patients
Imperial Valley Family Care Medical Group Apc Single Specialty CurrentSince Jul 4, 2025 Accepting new patients
Anesthesia Medical Group of Imperial Valley, Inc. Single Specialty PastSince Nov 21, 2024 Accepting new patients

Locations

125 S 5th St
Brawley, CA 92227
Phone (760) 344-8100

1600 S Imperial Ave
Ste 3
El Centro, CA 92243
Phone (760) 335-3545

516 W Aten Rd
Ste 2
Imperial, CA 92251
Phone (760) 355-7730

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1568050169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 IMPERIAL BUSINESS PARK DR STE 101",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "922514004",
            "telephone_number": "760-234-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 IMPERIAL BUSINESS PARK DR STE 101",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "922514004",
            "telephone_number": "760-355-5267",
            "fax_number": "760-355-5248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRONCOSO",
        "first_name": "ANNAIS",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95016066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "IMPERIAL",
            "affiliation": "N",
            "address_1": "2402 Imperial Business Park Dr Ste 101",
            "city": "Imperial",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922514004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Imperial, CA

Sources for this page

Verify at the official NPI Registry.