Active NPI
Jason Aguirre, M.D.
- General Practice Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A156653
- Practice address
- 1516 Sawtelle Blvd
Los Angeles, CA 90025 - Phone
- (310) 445-5999
- NPI assigned
- Mar 27, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A156653 | CA | Primary |
Addresses
Primary practice location
1516 Sawtelle Blvd
Los Angeles, CA 90025
Mailing address
140 Club Rd
Pasadena, CA 91105-1412
Phone (626) 644-6432
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191004002946 | CA | Practitioner - General Surgery | 6204167216 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Skilled Biologics IncJS Wound Care IncSkilled Facility Health Care Solutions Inc
Practice addresses (Care Compare)
Los Angeles, CA 90066
Phone (310) 445-5999
25050 Peachland Ave
Suite 255
Newhall, CA 91321-5761
Phone (714) 261-5181
904 Mission St
South Pasadena, CA 91030-3144
Phone (626) 799-9571
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1424 |
| Removal of skin lesions | 256 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A156653 | CA | MD | General Practice Physician |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JS Wound Care Inc | Current | Accepting new patients | |
| Skilled Biologics, Inc. | Current | Accepting new patients | |
| Skilled Facility Health Care Solutions Inc | Current | Accepting new patients |
Locations
3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387
3747 Foothill Blvd
#B140
La Crescenta, CA 91214
Phone 3104455999255
12021 Wilshire Blvd
Los Angeles, CA 90025
Phone (310) 348-1900
1516 Sawtelle Blvd
Los Angeles, CA 90025
Phone (310) 447-5505
5455 S Centinela Ave
Los Angeles, CA 90066
6401 33rd St
Riverside, CA 92509
Phone (909) 681-2200
2108 N St
Sacramento, CA 95816
Phone (951) 719-7050
25050 Peachland Ave
Ste 255
Santa Clarita, CA 91321
Phone (714) 261-5181
25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321
1340 15th St
Santa Monica, CA 90404
Phone (310) 451-9700
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Los Angeles, CA
- NPI 1922231828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568592000000",
"number": "1003200957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 CLUB RD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911051412",
"telephone_number": "626-644-6432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1516 SAWTELLE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90025",
"telephone_number": "310-445-5999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUIRRE",
"first_name": "JASON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-27",
"last_updated": "2019-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A156653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.