Individual provider Active NPI

Jason Aguirre, M.D.

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1003200957
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A156653 Issued in CA
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

Updated by the provider on Sep 16, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191004002946 CA Practitioner - General SurgeryPractitioner - General Practice 6204167216 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: General Practice
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 Inc 25 clinicians
JS Wound Care Inc 3 clinicians
Skilled Facility Health Care Solutions Inc 60 clinicians

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 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1424
Removal of skin lesions256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A156653CAMDGeneral Practice Physician

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
JS Wound Care Inc CurrentSince Jan 8, 2025 Accepting new patients
Skilled Biologics, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Skilled Facility Health Care Solutions Inc CurrentSince Sep 9, 2019 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.

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

Verify at the official NPI Registry.