Joel A Agacid Jr., RCP
Individual provider Active NPI Certified Respiratory Therapist · Carson, CA
NPI 1114224797 · NPPES record last updated Feb 17, 2011
Key facts
- NPI
- 1114224797
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Respiratory Therapist 227800000X
- License
- 21271 (CA)
- Practice address
- 1 Civic Plaza Dr
Suite 625
Carson, CA 90745-2243 - Phone
- (310) 549-4500
- Fax
- (310) 549-4700
- NPI assigned
- Feb 17, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supplemental Health Care | Past | Accepting new patients | |
| Supplemental Health Care | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | 21271 | CA | Yes |
Addresses
Primary practice location
1 Civic Plaza Dr
Suite 625
Carson, CA 90745-2243
Mailing address
328 Parkman Ave
Apt. # 2
Los Angeles, CA 90026-4506
Phone (213) 926-4407
Other providers in Carson, CA
- Gaurav Addagatla
- Ade Osibamiro MD Inc
- Amanda Aden
- Cydanni Adenikinju
- Elsie Adoc
- Jenny Agtarap
- Katherine Aguilar
- May Aguilar
- Manuel C Aguilera
- Estrella Azurin Aguinaldo
All providers in Carson, CA · Certified Respiratory Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.