Individual provider Active NPI

Phillip Neri Aguilar, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakewood, CA
National Provider Identifier
1043942477
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95021440 Issued in CA
Practice address
6010 Briercrest Ave
Lakewood, CA 90713-1018
Phone
(562) 644-6090
NPI assigned
Jun 24, 2022
Last updated
Jun 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95021440 CA Primary

Addresses

Primary practice location

6010 Briercrest Ave
Lakewood, CA 90713-1018

Mailing address

6010 Briercrest Ave
Lakewood, CA 90713-1018
Phone (562) 644-6090

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241122001350 CA Practitioner - Nurse Practitioner 3072048321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advances in Mental Health and Addictions Treatment IncGroup PAC ID 3173844222, 6 clinicians

Practice addresses (Care Compare)

5199 E Pacific Coast Hwy
Suite 330N
Long Beach, CA 90804-3353
Phone (562) 365-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advances in Mental Health and Addictions Treatment Inc CurrentSince Oct 22, 2024 Accepting new patients

Locations

18672 Florida St
Ste 100
Huntington Beach, CA 92648
Phone (714) 596-4705

5199 E Pacific Coast Hwy
Ste 330N
Long Beach, CA 90804
Phone (562) 365-2020

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1043942477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 BRIERCREST AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907131018",
            "telephone_number": "562-644-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 BRIERCREST AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907131018",
            "telephone_number": "562-644-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "PHILLIP",
        "middle_name": "NERI",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95021440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

Verify at the official NPI Registry.