Amado-Alexander Agrisola, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in San Diego, California
1326808379- Practice location
- 1465 30TH St Ste K, San Diego, CA 92154-3497
- Phone
- 619-428-1000
- Fax
- —
- Last updated
- October 27, 2026
Amado-Alexander Agrisola is a Nurse Practitioner, Psych/Mental Health based in San Diego, CA. Amado-Alexander Agrisola practices in San Diego, CA and has the professional credentials of PMHNP-BC. The NPI Number for Amado-Alexander Agrisola is 1326808379 and holds a License No. 95038914 (CA). The current practice location address for Amado-Alexander Agrisola is 1465 30TH St Ste K, San Diego, CA 92154-3497 and can be reached out via phone at 619-428-1000.
Provider Profile Details
- NPI Number
- 1326808379
- Provider Name
- Amado-Alexander Agrisola
- Credential
- PMHNP-BC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1465 30TH St Ste K, San Diego, CA 92154-3497
- Phone Number
- 619-428-1000
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 19, 2024
- Last Update Date
- October 27, 2026
- Certification Date
- October 27, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1465 30TH St Ste K
San Diego, CA 92154-3497 - City
- San Diego
- State
- California
- Zip
- 92154-3497
- Phone Number
- 619-428-1000
Provider Business Mailing Address Details
- Address
- 7938 Playmor Ter
San Diego, CA 92122-1708 - City
- San Diego
- State
- CA
- Zip
- 92122-1708
- Phone Number
- 702-523-0092
License Information
- License Number
- 95038914
- License State
- CA
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Amado-Alexander Agrisola, PMHNP-BC?
The NPI number of Amado-Alexander Agrisola, PMHNP-BC is 1326808379. It was assigned on March 19, 2024 and is currently active in the NPPES registry.
What is the specialty of Amado-Alexander Agrisola, PMHNP-BC?
Amado-Alexander Agrisola, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CA under license number 95038914.
Where does Amado-Alexander Agrisola, PMHNP-BC practice?
The practice location is 1465 30TH St Ste K, San Diego, CA 92154-3497. The office can be reached at 619-428-1000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326808379 directly on the NPPES registry website.