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ELIZABETH IDROGO
NPI 1205481728
Physician Assistant in El Segundo, CA

Active since August 02, 2019
483 N AVIATION BLVD BLDG 210, EL SEGUNDO, CA 90245(310) 653-6717(310) 653-6453 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 6, 2022, Aug 2, 2019 (2 updates tracked since 2019).

About Elizabeth Idrogo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH IDROGO (NPI 1205481728) is an individual physician assistant in El Segundo, California and active in the NPI registry since August 2019. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205481728
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELIZABETH IDROGO
Location Address483 N AVIATION BLVD BLDG 210El Segundo, CA 90245-2808
Mailing Address483 N. Aviation Blvd Building 210El Segundo, CA 90245 · (310) 653-6717 · Fax (310) 653-6453
Phone(310) 653-6717
Fax(310) 653-6453
Sole ProprietorNo
Enumeration DateAugust 2, 2019
Last NPPES UpdateFebruary 22, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2024
✔ NPI 1205481728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
483 N AVIATION BLVD BLDG 210, El Segundo, CA 90245
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Secondary Practice Locations 2

Location 1420 Polifka Ave, Bldg 1042Sumter, SC 29154 · Phone (702) 653-2532
Location 24700 Las Vegas Blvd NLas Vegas, NV 89191-6600 · Phone (702) 653-2532

Other Identifiers 1

Other1205481728Tricare

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTA GRIMM M.D.
Pediatrics
483 N AVIATION BLVD BLDG 210, 61 MDS/SGOC
EL SEGUNDO, CA 90245
Los Angeles County (310) 653-2873
WANDER STENIO SEGURA M.D
Psychiatry & Neurology (Psychiatry)
483 N AVIATION BLVD BLDG 210
EL SEGUNDO, CA 90245
Los Angeles County (310) 653-6679
XRYSTINA DANETTE NIMS
Pharmacist
483 N AVIATION BLVD BLDG 210
EL SEGUNDO, CA 90245
Los Angeles County (310) 653-6547
JEAN MACLY SAINT-SIMON ARNP
Nurse Practitioner (Family)
483 N AVIATION BLVD BLDG 210
EL SEGUNDO, CA 90245
Los Angeles County (310) 653-6679
ZACHARIAH S SMITH DO
Family Medicine
483 N AVIATION BLVD BLDG 210
EL SEGUNDO, CA 90245
Los Angeles County (310) 653-2873
JENNEVA BARRETT LCSW
Social Worker (Clinical)
483 N AVIATION BLVD BLDG 210
EL SEGUNDO, CA 90245
Los Angeles County (310) 653-6860
KAYSEE LYNN ISHMAN
Dentist
483 N AVIATION BLVD BLDG 210
EL SEGUNDO, CA 90245
Los Angeles County (310) 653-6679
MR. JOSEPH ANDREW BURROW I PHYSICIAN ASSISTANT
Physician Assistant
483 N AVIATION BLVD BLDG 210
EL SEGUNDO, CA 90245
Los Angeles County (310) 653-2890

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Idrogo's NPI number?

The NPI number for Elizabeth Idrogo is 1205481728. It was assigned to this individual provider in the NPPES registry on August 2, 2019.

Where is Elizabeth Idrogo located?

Elizabeth Idrogo practices at 483 N Aviation Blvd Bldg 210, El Segundo, CA 90245. The listed phone number is (310) 653-6717.

What is Elizabeth Idrogo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Elizabeth Idrogo was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.