Active NPI
Jose Antonio Aguilar Nieto, PA-C
- Physician Assistant
- Redwood City, CA
National Provider Identifier
1043748288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA54438
- Practice address
- 2900 Whipple Ave Ste 205
Redwood City, CA 94062-2851 - Phone
- (650) 363-5262
- NPI assigned
- Jun 1, 2017
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA54438 | CA | Primary |
Addresses
Primary practice location
2900 Whipple Ave Ste 205
Redwood City, CA 94062-2851
Mailing address
2350 W El Camino Real FL 2
Mountain View, CA 94040-6203
Phone (650) 363-5262
Other practice location 1
635 N 1st St
San Jose, CA 95112-5162
Phone (408) 477-2072
Other practice location 2
857 N 19th St
San Jose, CA 95112-1555
Phone (408) 420-8312
Other names 1
- Antonio Aguilar
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA54438 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1043748288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 W EL CAMINO REAL FL 2",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940406203",
"telephone_number": "650-363-5262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 WHIPPLE AVE STE 205",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940622851",
"telephone_number": "650-363-5262"
}
],
"practiceLocations": [
{
"address_1": "635 N 1st St",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951125162",
"country_code": "US",
"telephone_number": "408-477-2072",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "857 N 19th St",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951121555",
"country_code": "US",
"telephone_number": "408-420-8312",
"fax_number": "408-420-8312",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGUILAR NIETO",
"first_name": "JOSE",
"middle_name": "ANTONIO",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA54438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANTONIO",
"last_name": "AGUILAR",
"credential": "PA-C",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.