GENEVIEVE MAYA FRAGOSO
NPI 1780319079
Counselor - Professional in San Dimas, CA

Active since July 20, 2022
180 VIA VERDE STE 200, SAN DIMAS, CA 91773(909) 599-1227 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 1, 2022, Jul 20, 2022 (2 updates tracked since 2022).

About Genevieve Maya Fragoso NPPES

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

GENEVIEVE MAYA FRAGOSO (NPI 1780319079) is an individual professional provider in San Dimas, California, licensed in California (15247) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1780319079
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameGENEVIEVE MAYA FRAGOSO
Location Address180 VIA VERDE STE 200San Dimas, CA 91773-3993
Mailing Address180 Via Verde Ste 200San Dimas, CA 91773-3993 · (909) 599-1227
Sole ProprietorNo
Enumeration DateJuly 20, 2022
Last NPPES UpdateFebruary 1, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2024
NPI 1780319079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CA · 15247
180 VIA VERDE STE 200, San Dimas, CA 91773

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.

Social Worker (Clinical)
180 VIA VERDE STE 200
SAN DIMAS, CA 91773
Marriage & Family Therapist
180 VIA VERDE STE 200
SAN DIMAS, CA 91773
Social Worker
180 VIA VERDE STE 200
SAN DIMAS, CA 91773
Clinic/Center (Mental Health (Including Community Mental Health Center))
180 VIA VERDE STE 200
SAN DIMAS, CA 91773
Social Worker (Clinical)
180 VIA VERDE STE 200
SAN DIMAS, CA 91773
Social Worker (Clinical)
180 VIA VERDE STE 200
SAN DIMAS, CA 91773
Social Worker (Clinical)
180 VIA VERDE STE 200
SAN DIMAS, CA 91773
Marriage & Family Therapist
180 VIA VERDE STE 200
SAN DIMAS, CA 91773

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 Genevieve Fragoso's NPI number?

The NPI number for Genevieve Fragoso is 1780319079. It was assigned to this individual provider in the NPPES registry on July 20, 2022.

Where is Genevieve Fragoso located?

Genevieve Fragoso practices at 180 Via Verde Ste 200, San Dimas, CA 91773. The listed phone number is (909) 599-1227.

What is Genevieve Fragoso's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Genevieve Fragoso was last updated on February 1, 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.