Anthony Jonathan Idrogo

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

Practice address

2210 N Eldorado Ave
Klamath Falls, OR 97601-6418

Phone

(541) 883-1030

Fax

(541) 884-2338

NPI assigned

Dec 17, 2010

Sex

Male

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1619270378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "BIEBER",
            "state": "CA",
            "postal_code": "960090277",
            "telephone_number": "530-294-5241",
            "fax_number": "530-294-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 N ELDORADO AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016418",
            "telephone_number": "541-883-1030",
            "fax_number": "541-884-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDROGO",
        "first_name": "ANTHONY",
        "middle_name": "JONATHAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-17",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Hutchinson, RD
• Alexandria Shannon Hutzell, O.D.
• Irina Iacobucci, M.D.
• Garrison Iams
• Icco, LLC (BestMed)
• Elizabeth Ann Idrogo, B.S.
• Sidra Iftikhar, MD
• Jason Dewayne Inman
• Innate Wellness, LLC
• Inner Alchemy Trauma Healing & Transformation

• School Social Worker in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• School Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.