Anita Marie Ydrogo

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

70004352735 Issued in CA

Practice address

201 N Stanislaus St
Stockton, CA 95202-2949

Phone

(350) 231-3856

NPI assigned

May 19, 2026

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

State licenses

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

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1871423293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6109 MUSTANG PL",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952103673",
            "telephone_number": "350-231-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N STANISLAUS ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952022949",
            "telephone_number": "350-231-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YDROGO",
        "first_name": "ANITA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prevention Professional",
            "state": "CA",
            "license": "70004352735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mikayla Rae Ybarra
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• Timothy L. H. Yeh, M.D.
• Maxine Yeley

• Prevention Professional in Stockton, CA
• Providers in Stockton, CA by specialty
• Prevention Professional in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.