Individual provider Active NPI

Antoinette Fregoso, APN

  • Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1891053831
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95033328 Issued in CA
Practice address
6001 Menaul Blvd NE # 1020
Albuquerque, NM 87110-3379
Phone
(505) 377-0276
NPI assigned
Apr 27, 2012
Last updated
May 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250804003265 CA Practitioner - Nurse Practitioner 0749690956 Reassigns benefits to 2 organizations

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
St. John's Community HealthGroup PAC ID 2961482690, 151 clinicians
The West Oakland Health CouncilGroup PAC ID 9537062302, shared by 4 NPIs, 27 clinicians

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

LicenseStateTypeSpecialty
95033328CAMDNurse Practitioner
APRN11004349FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Johns Community Health CurrentSince Jun 10, 2025 Accepting new patients
St. Johns Community Health Current Accepting new patients
St. Johns Community Health CurrentSince Jun 10, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.