Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angie Degennaro

Individual provider Family Nurse Practitioner · NPI 1215562897

Angie Degennaro is a Nurse Practitioner in Riverside, California. Qualified in 2020, 6 years ago. Practices with Riverside Medical Clinic Inc, a 174-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
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Practice location Address checks out

7117 Brockton Ave
Riverside, CA 92506-2658
Phone: (951) 782-3690
Fax: (951) 784-3257
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95017898 (CA)

Record details

NPI number1215562897
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 4, 2020
Last updated in NPPESApril 11, 2025
Certification dateApril 11, 2025
Mailing address7117 Brockton Ave, Riverside, CA 92506-2658

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Riverside Medical Clinic Inc — 174 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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