Active NPI
Antoinette Fregoso, APN
- Nurse Practitioner
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95033328
- Practice address
- 6001 Menaul Blvd NE # 1020
Albuquerque, NM 87110-3379 - Phone
- (505) 377-0276
- NPI assigned
- Apr 27, 2012
- Last updated
- May 13, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95033328 | CA | Primary |
| Nurse Practitioner | 363L00000X | APRN11004349 | FL |
Addresses
Primary practice location
6001 Menaul Blvd NE # 1020
Albuquerque, NM 87110-3379
Mailing address
16110 E 14TH St
Ashland, CA 94578-3002
Phone (510) 471-5880
Other practice location 1
700 Adeline St
Oakland, CA 94607-2608
Phone (510) 835-9610
Other practice location 2
16110 E 14th St
Ashland, CA 94578-3002
Phone (510) 471-5880
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The West Oakland Health Council
Practice addresses (Care Compare)
1910 Magnolia Ave
Suite 101
Los Angeles, CA 90007-1220
Phone (213) 749-0947
326 W 23Rd St
Los Angeles, CA 90007-2612
Phone (323) 541-1600
6818 Avalon Blvd
Los Angeles, CA 90003-1922
Phone (323) 541-1600
700 Adeline St
Oakland, CA 94607-2608
Phone 51083596102006
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95033328 | CA | MD | Nurse Practitioner |
| APRN11004349 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Johns Community Health | Current | Accepting new patients | |
| St. Johns Community Health | Current | Accepting new patients | |
| St. Johns Community Health | Current | Accepting new patients | |
| St. Johns Community Health | Past | Accepting new patients |
Locations
2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332
1821 S San Jacinto Ave
Ste D
San Jacinto, CA 92583
Phone 32328598302332
1500 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 381-1591
Interoperability endpoints
- afregoso833162@direct.ochin.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1073653630
-
- Federally Qualified Health Center (FQHC)
- Union City, CA
- NPI 1851389696
-
- Community Health Clinic/Center
- Los Angeles, CA
- NPI 1073363768
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1285874826
-
- Federally Qualified Health Center (FQHC)
- San Bernardino, CA
- NPI 1780376947
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Alta Bates Summit Medical Center - Summit Campus
- General Acute Care Hospital
- Oakland, CA
- NPI 1295181477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1891053831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16110 E 14TH ST",
"city": "ASHLAND",
"state": "CA",
"postal_code": "945783002",
"telephone_number": "510-471-5880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 MENAUL BLVD NE # 1020",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871103379",
"telephone_number": "505-377-0276"
}
],
"practiceLocations": [
{
"address_1": "700 Adeline St",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946072608",
"country_code": "US",
"telephone_number": "510-835-9610",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16110 E 14th St",
"address_purpose": "LOCATION",
"city": "Ashland",
"state": "CA",
"postal_code": "945783002",
"country_code": "US",
"telephone_number": "510-471-5880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FREGOSO",
"first_name": "ANTOINETTE",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-27",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95033328",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11004349",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.