Individual provider Active NPI

Elena Angioi, FNP

  • Family Nurse Practitioner
  • Yucca Valley, CA
National Provider Identifier
1992993000
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17722 Issued in CA
Practice address
57445 29 Palms Hwy
Suite 301
Yucca Valley, CA 92284-2947
Phone
(760) 365-2800
Fax
(760) 365-1406
NPI assigned
Oct 15, 2007
Last updated
Oct 15, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 17722 CA Primary

Addresses

Primary practice location

57445 29 Palms Hwy
Suite 301
Yucca Valley, CA 92284-2947

Mailing address

58253 Joshua Dr
Yucca Valley, CA 92284-6187
Phone (760) 228-0982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
17722CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1992993000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58253 JOSHUA DR",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922846187",
            "telephone_number": "760-228-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57445 29 PALMS HWY",
            "address_2": "SUITE 301",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842947",
            "telephone_number": "760-365-2800",
            "fax_number": "760-365-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGIOI",
        "first_name": "ELENA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "17722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucca Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.