Sirina S Aguilar, DDS
Individual provider Active NPI Dentist · Livington, CA
NPI 1043417090 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043417090
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 48783 (CA)
- Practice address
- 1112 Main Street
Livington, CA 95334 - Phone
- (209) 394-8383
- Fax
- (209) 394-8361
- NPI assigned
- Jul 2, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48783 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 48783 | CA | Yes |
Addresses
Primary practice location
1112 Main Street
Livington, CA 95334
Mailing address
13707 Coastal Court
Waterford, CA 95386
Phone (209) 874-4010
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.