Active NPI
Kimberly Aguilar, DNP FNP-C, RN
- Family Nurse Practitioner
- Rancho Santa Margarita, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95023608
- Practice address
- 29472 Avenida de Las Banderas
Rancho Santa Margarita, CA 92688 - Phone
- (949) 459-9968
- Fax
- (949) 766-2565
- NPI assigned
- Jan 4, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95023608 | CA | Primary |
Addresses
Primary practice location
29472 Avenida de Las Banderas
Rancho Santa Margarita, CA 92688
Mailing address
29472 Avenida de Las Banderas
Rancho Santa Margarita, CA 92688
Phone (949) 459-9968
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://memorialcare.org/fhir/api/FHIR/R4/ | Health Information Exchange (HIE) | MemorialCare Medical Foundation |
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
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
29472 Avenida de Las Bandera
Rancho Santa Margarita, CA 92688-2651
Phone (949) 459-9968
Hospital & facility affiliations
- Memorialcare Saddleback Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.17 of 100
- Quality
- 81.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.64
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95023608 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newport Physical Medicine and Rehabilitation Inc. | Current | Accepting new patients | |
| Memorialcare Medical Foundation | Current | Accepting new patients | |
| Bristol Park Medical Group, Inc | Past | Accepting new patients |
Locations
722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300
17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592
17264 Red Hill Ave
Irvine, CA 92614
Phone (949) 650-1228
29472 Avenida de las Bandera
Rcho Sta Marg, CA 92688
Phone (949) 459-9968
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- kaguilar214595@direct.memorialcare.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Fountain Valley, CA
- NPI 1205167350
-
- Spinal Cord Injury Medicine Physician
- Irvine, CA
- NPI 1245775360
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1043266760
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Laguna Hills, CA
- NPI 1275576381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1104539295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29472 AVENIDA DE LAS BANDERAS",
"city": "RANCHO SANTA MARGARITA",
"state": "CA",
"postal_code": "92688",
"telephone_number": "949-459-9968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29472 AVENIDA DE LAS BANDERAS",
"city": "RANCHO SANTA MARGARITA",
"state": "CA",
"postal_code": "92688",
"telephone_number": "949-459-9968",
"fax_number": "949-766-2565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUILAR",
"first_name": "KIMBERLY",
"credential": "DNP FNP-C, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-04",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95023608",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://memorialcare.org/fhir/api/FHIR/R4/",
"affiliation": "Y",
"endpointDescription": "MemorialCare FHIR Endpoint",
"affiliationName": "MemorialCare Medical Foundation",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "17360 Brookhurst St",
"city": "Fountain Valley",
"state": "CA",
"country_code": "US",
"postal_code": "927083720",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rancho Santa Margarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.