Active NPI
Anna Elsie Agaronov, DO
- Dermatology Physician
- San Diego, CA
National Provider Identifier
1730839010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 20A25016
- Practice address
- 16899 W Bernardo Dr
San Diego, CA 92127-1603 - Phone
- (858) 499-2600
- NPI assigned
- Mar 28, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 20A25016 | CA | Primary |
Addresses
Primary practice location
16899 W Bernardo Dr
San Diego, CA 92127-1603
Mailing address
16899 W Bernardo Dr
San Diego, CA 92127-1603
Phone (858) 499-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1730839010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16899 W BERNARDO DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921271603",
"telephone_number": "858-499-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16899 W BERNARDO DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921271603",
"telephone_number": "858-499-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGARONOV",
"first_name": "ANNA",
"middle_name": "ELSIE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-28",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "20A25016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.