Active NPI
Abraham David Aguilar
- Dental Assistant
- Torrance, CA
National Provider Identifier
1093950362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 71092
- Practice address
- 1730 Sepulveda Blvd
Torrance, CA 90501-5645 - Phone
- (310) 325-8888
- NPI assigned
- Dec 15, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 71092 | CA | Primary |
Addresses
Primary practice location
1730 Sepulveda Blvd
Torrance, CA 90501-5645
Mailing address
2738 Cudahy St
Huntington Park, CA 90255-6825
Phone (562) 544-4264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71092 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229299200000",
"number": "1093950362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2738 CUDAHY ST",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902556825",
"telephone_number": "562-544-4264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 SEPULVEDA BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905015645",
"telephone_number": "310-325-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUILAR",
"first_name": "ABRAHAM",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-15",
"last_updated": "2008-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "71092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.