MRS. PHYLLIS A ANGELO CPNP
NPI 1538234489
Nurse Practitioner - Pediatrics in Santa Rosa, CA

Active since November 22, 2006
3925 OLD REDWOOD HWY, SANTA ROSA, CA 95403(707) 566-5327(707) 566-5292 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Phyllis A Angelo Cpnp NPPES

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

MRS. PHYLLIS A ANGELO CPNP (NPI 1538234489) is an individual pediatrics provider in Santa Rosa, California, licensed in California (282719) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1538234489
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. PHYLLIS A ANGELOCredential: CPNP
Location Address3925 OLD REDWOOD HWYSanta Rosa, CA 95403-1719
Mailing Address3925 Old Redwood HwySanta Rosa, CA 95403-1719 · (707) 571-4033 · Fax (707) 566-5292
Fax(707) 566-5292
Sole ProprietorNo
Enumeration DateNovember 22, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1538234489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in CA · 282719
3925 OLD REDWOOD HWY, Santa Rosa, CA 95403

Other Identifiers 1

Medicare UPINP17832CA

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.

Optometrist
3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
Speech-Language Pathologist
3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
Pediatrics
3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
Dietitian, Registered (Nutrition, Pediatric)
3925 OLD REDWOOD HWY, DEPT OF PEDIATRICS
SANTA ROSA, CA 95403
Optometrist
3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
Specialist
3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
Pediatrics
3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
Optometrist
3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403

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 Phyllis Angelo's NPI number?

The NPI number for Phyllis Angelo is 1538234489. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Phyllis Angelo located?

Phyllis Angelo practices at 3925 Old Redwood Hwy, Santa Rosa, CA 95403. The listed phone number is (707) 566-5327.

What is Phyllis Angelo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Phyllis Angelo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.