Juan Aguilar
Individual provider Active NPI Adult Companion · Ceres, CA
NPI 1124589627 · NPPES record last updated Aug 28, 2025
Key facts
- NPI
- 1124589627
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Companion 372600000X
- Practice address
- 1904 Richland Ave
Ceres, CA 95307-4562 - Phone
- (209) 525-7444
- NPI assigned
- Mar 27, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Adult Companion | 372600000X | Yes |
Addresses
Primary practice location
1904 Richland Ave
Ceres, CA 95307-4562
Mailing address
1904 Richland Ave
Ceres, CA 95307-4562
Phone (209) 525-7444
Other practice location 1
800 Scenic Dr
Modesto, CA 95350-6131
Phone (209) 552-2890
Other providers in Ceres, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2025. 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.