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

Mrs. Agnes Tagorda Alicar, NURSEPRACTITIONER

Individual provider Registered Nurse · NPI 1629240049

Mrs. Agnes Tagorda Alicar, NURSEPRACTITIONER is a Nurse Practitioner in Stockton, California. Qualified in 2007, 19 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
19
Licensed in
CA
In the registry since
2008
Specialties on file
3

Practice location Address checks out

1801 E March Ln Ste C-320
Stockton, CA 95210-6629
Phone: (209) 957-5888
Fax: (209) 477-9339
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP17392 (CA)
Registered Nurse Taxonomy 163W00000X · Licence RN585873 (CA)
Community Health Registered Nurse Taxonomy 163WC1500X · Licence PHN69084 (CA)

Record details

NPI number1629240049
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedMarch 26, 2008
Last updated in NPPESJanuary 3, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Stockton