Alexxis Marie-Moran Aguilar

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

451 E Vanderbilt Way Ste 325
San Bernardino, CA 92408-2881

Phone

(909) 501-2109

NPI assigned

Oct 21, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Alexxis Marie-Moran Hulburt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1104647361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 E VANDERBILT WAY STE 325",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082881",
            "telephone_number": "909-501-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 E VANDERBILT WAY STE 325",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082881",
            "telephone_number": "909-501-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "ALEXXIS",
        "middle_name": "MARIE-MORAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXXIS",
            "last_name": "HULBURT",
            "middle_name": "MARIE-MORAN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eduardo Agredano
• Bonnie Aguiar, LCSW
• Tiphani Aguila
• Alondra Aguilar-Avila
• Abraham Antonio Aguilar
• Damaryz Aguilar, CHW
• Edward Aguilar
• Laura Linn Aguilar, M.A.
• Saira Aguilar
• Sierra Aguilar

• Community Health Worker in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.