Doctor profile · Federal record

Dr. Anna Olivia Fragoso-Nino, C-PNP

Pediatric Nurse Practitioner · Victorville, CA

  • NPI 1124447313
  • 12 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
14446 Tawney Ridge Ln
Victorville, CA 923943210
(760) 221-4726

Credentials & registration

NPPES · NUCC
NPI registered
April 2014 — 12 yrs on file
Profile last updated
March 28, 2022
Specialty taxonomy
363LP0200X — NUCC code
State license (1)
California #21714

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1124447313. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$87
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Verrica Pharmaceuticals Inc. 1 $86.74

By nature of payment

Food and Beverage
$87

Frequently asked questions

Auto-generated from federal data
What is Dr. Anna Olivia Fragoso-Nino's medical specialty?
Dr. Anna Olivia Fragoso-Nino practices Pediatric Nurse Practitioner in Victorville, CA.
Where does Dr. Anna Olivia Fragoso-Nino practice?
Dr. Anna Olivia Fragoso-Nino practices at 14446 Tawney Ridge Ln, Victorville, CA 923943210. Office phone: 7602214726.
What is Dr. Anna Olivia Fragoso-Nino's NPI?
Dr. Anna Olivia Fragoso-Nino's National Provider Identifier (NPI) is 1124447313, issued by NPPES.