Angie E Malagon

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95040314 Issued in CA

Practice address

1551 E Shaw Ave Ste 139
Fresno, CA 93710-8025

Phone

(559) 320-0490

NPI assigned

Aug 12, 2026

Last updated

Oct 7, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1786492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1588589196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6964 PETIT ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113304",
            "telephone_number": "619-608-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 E SHAW AVE STE 139",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108025",
            "telephone_number": "559-320-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAGON",
        "first_name": "ANGIE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-12",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95040314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sibongile Shari Ann Makatini, DO
• Tammie Sue Makely
• Chhaya Makhija, MD
• Ebunoluwa G Makinde
• David P Makley
• Nagabhushana Siddappa Malakkla, MD
• Randall Lynn Malan, D.D.S.
• Diana Malancea, MD
• Melissa Malave, PSY.D.
• Alan Maldonado Alfaro

• Psychiatric/Mental Health Nurse Practitioner in Fresno, CA
• Providers in Fresno, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.

Verify at the official NPI Registry.