Active NPI
Larry Aguirre II, PA-C, DMSC, CAQ-PSY
- Physician Assistant
- Ukiah, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA21850
- Practice address
- 531 S Orchard Ave Ste a
Ukiah, CA 95482-5022 - Phone
- (707) 472-0350
- Fax
- (707) 472-0358
- NPI assigned
- Jun 1, 2012
- Last updated
- Sep 2, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA21850 | CA | Primary |
| Medical Physician Assistant | 363AM0700X | PA21850 | CA |
Addresses
Primary practice location
531 S Orchard Ave Ste a
Ukiah, CA 95482-5022
Mailing address
PO Box 1449
Ukiah, CA 95482-1449
Phone (707) 472-6453
Other practice location 1
499 N. El Camino Real
Encinitas, CA 92024
Phone (760) 436-6000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
350 E Gobbi St
Ukiah, CA 95482-5511
Phone (707) 472-0350
PO Box
Suite 1449
Ukiah, CA 95482-1449
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA21850 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchor Health Management, Inc. | Current | Accepting new patients | |
| Mendocino Community Health Clinic, Inc. | Current | Accepting new patients | |
| Mendocino Community Health Clinic, Inc. | Current | Accepting new patients | |
| Anchor Health Management, Inc. | Current | Accepting new patients |
Locations
516 Cypress St
Ofc
Fort Bragg, CA 95437
333 Laws Ave
Ukiah, CA 95482
Phone (707) 463-1113
350 E Gobbi St
Ukiah, CA 95482
Phone (707) 472-0350
350 E Gobbi St
#B
Ukiah, CA 95482
Phone (707) 472-0350
Interoperability endpoints
- laguirre335463@direct.ochin.org
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Ukiah, CA
- NPI 1598524423
-
- Federally Qualified Health Center (FQHC)
- Ukiah, CA
- NPI 1497961106
-
- Case Management Agency
- Ukiah, CA
- NPI 1215776984
-
dba Dora Street Health Center
- Federally Qualified Health Center (FQHC)
- Ukiah, CA
- NPI 1356714646
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventist Health Ukiah Valley
- General Acute Care Hospital
- Ukiah, CA
- NPI 1235120676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1093076416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1449",
"city": "UKIAH",
"state": "CA",
"postal_code": "954821449",
"telephone_number": "707-472-6453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "531 S ORCHARD AVE STE A",
"city": "UKIAH",
"state": "CA",
"postal_code": "954825022",
"telephone_number": "707-472-0350",
"fax_number": "707-472-0358"
}
],
"practiceLocations": [
{
"address_1": "499 N. El Camino Real",
"address_purpose": "LOCATION",
"city": "Encinitas",
"state": "CA",
"postal_code": "92024",
"country_code": "US",
"telephone_number": "760-436-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGUIRRE",
"first_name": "LARRY",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "PA-C, DMSC, CAQ-PSY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-01",
"last_updated": "2025-09-02",
"certification_date": "2025-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA21850",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA21850",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.