Individual provider Active NPI

Jorge Lopez-Aguado, M.D/

  • Pediatrics Physician
  • Oakhurst, CA
National Provider Identifier
1104935329
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
F39744 Issued in CA
Practice address
49430 Road 426
Suite B
Oakhurst, CA 93644-8618
Phone
(559) 683-2459
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X F39744 CA Primary

Addresses

Primary practice location

49430 Road 426
Suite B
Oakhurst, CA 93644-8618

Mailing address

PO Box 2588
Oakhurst, CA 93644-2588
Phone (559) 683-2459

Other identifiers 1

IdentifierTypeStateIssuer
00G633330MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180427002228 CA Practitioner - Pediatric Medicine 4688938624 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
F39744CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Family Health CurrentSince Apr 2, 2018 Accepting new patients
Omni Family Health Current Accepting new patients
Omni Family Health CurrentSince Apr 2, 2018 Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Valley Children'S Hospital Past Accepting new patients
Jorge Lopez MD Inc. Pediatrics Past Accepting new patients
Omni Family Health Past Accepting new patients
Adventist Health Delano Past Accepting new patients

Locations

4900 California Ave
Ste 400B
Bakersfield, CA 93309
Phone (661) 630-7046

277 E Front St
Buttonwillow, CA 93206
Phone (661) 630-7381

912 Fremont St
Delano, CA 93215
Phone (661) 459-1974

1001 Main St
Delano, CA 93215
Phone (661) 454-1712

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jorge.lopezaguado.p1@direct.omnifamilyhealth.nextgenshare.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1104935329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2588",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "936442588",
            "telephone_number": "559-683-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49430 ROAD 426",
            "address_2": "SUITE B",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "936448618",
            "telephone_number": "559-683-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-AGUADO",
        "first_name": "JORGE",
        "credential": "M.D/",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "F39744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G633330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakhurst, CA

Sources for this page

Verify at the official NPI Registry.