Individual provider Active NPI

Larry Aguirre II, PA-C, DMSC, CAQ-PSY

  • Physician Assistant
  • Ukiah, CA
National Provider Identifier
1093076416
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA21850 Issued in CA
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 2

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130125000082 CA Practitioner - Physician Assistant 7719131838 Reassigns benefits to 2 organizations

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
Anchor Health Management IncGroup PAC ID 0244767929, 3 clinicians

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

LicenseStateTypeSpecialty
PA21850CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Health Management, Inc. CurrentSince Sep 8, 2025 Accepting new patients
Mendocino Community Health Clinic, Inc. CurrentSince Dec 16, 2012 Accepting new patients
Mendocino Community Health Clinic, Inc. CurrentSince Dec 16, 2012 Accepting new patients
Anchor Health Management, Inc. CurrentSince Jan 11, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.