Manuel C Aguilera, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Carson, CA
NPI 1114015500 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1114015500
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- A38823 (CA)
- Practice address
- 235 W Carson St
Carson, CA 90745-2604 - Phone
- (310) 834-4233
- Fax
- (310) 834-3356
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
235 W Carson St
Carson, CA 90745-2604
Phone (310) 834-4233
Hospital & facility affiliations
- Elegance Healthcare, Inc
- Torrance Memorial Medical Center
- Providence Little Company of Mary Med Ctr Torrance
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101013001000 | CA | Practitioner - Internal Medicine |
4183782139 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A38823 | CA | MD | Cardiovascular Disease Physician |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health System - Southern California | Past | Accepting new patients | |
| Torrance Memorial Medical Center | Past | Accepting new patients | |
| Providence Health System Southern California | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A38823 | CA | Yes |
Addresses
Primary practice location
235 W Carson St
Carson, CA 90745-2604
Mailing address
25616 Rolling Hills Way
Torrance, CA 90505-7048
Phone (310) 617-3895
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A38823 | Other | CA | STATE LICENSE |
| 954061927 | Other | CA | TAX ID |
| GR0025530 | Medicaid | CA |
Other providers in Carson, CA
- Elsie Adoc
- Joel A Agacid Jr.
- Jenny Agtarap
- Katherine Aguilar
- May Aguilar
- Estrella Azurin Aguinaldo
- Montserrat Aguirre
- Fawziyyah Ahmed
- Grace Ahn
- Aiming Forward Counseling Services LLC
All providers in Carson, CA · Cardiovascular Disease Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.