CMS-1500 Box 24J / 33a • NPI
1104450261
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
183700000X
Licensed & Credentialed Pharmacy Technician
Box 32 Service Location & ZIP+4
60 N HIGHLAND SPRINGS AVE, BANNING, CA, 92220-3048
✓ 9-Digit EDI 837 ZIP+4 (92220-3048)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1104450261 (ANGELENA NELLIE BARRAGUN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1104450261 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ANGELENA NELLIE BARRAGUN |
| Plain-English Specialty | Licensed & Credentialed Pharmacy Technician NUCC Code: 183700000X (Pharmacy Technician) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 60 N HIGHLAND SPRINGS AVE, BANNING, CA, 92220-3048 |
| Practice Telephone / Fax | Tel: (951) 845-5984 |
| Administrative Mailing Address | 703 ALLEGHENY ST UNIT 13, BEAUMONT, CA, 92223-5752 |
| Enumeration & Last Sync | Enumerated: 2020-02-27 | CMS Record Updated: 2020-02-27 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (183700000X)
What Does Taxonomy Code 183700000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 183700000X translates to:
"Licensed & Credentialed Pharmacy Technician"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ANGELENA NELLIE BARRAGUN)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
183700000X — Pharmacy TechnicianPlain English: Licensed & Credentialed Pharmacy Technician | State: CA | License: 162363 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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