Jacqueline Balayan Aguiluz, D.O.
Individual provider Active NPI Family Medicine Physician · Hawaiian Gardens, CA
NPI 1164572525 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1164572525
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 20A7451 (CA)
- Practice address
- 21508 Norwalk Blvd
Hawaiian Gardens, CA 90716-1122 - Phone
- (562) 868-0733
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jacqueline B Aguiluz D O Inc
Practice addresses (Care Compare)
21508 Norwalk Blvd
Hawaiian Gardens, CA 90716-1122
Phone (562) 865-5214
Hospital & facility affiliations
- Apple Healthcare Inc
- Excellence Home Health Provider, Inc
- Pih Health Hospital-Whittier
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 |
|---|---|---|---|---|
| I20050912000813 | CA | Practitioner - Family Practice | 5193638443 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7451 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 20A7451 | CA | MD | Family Medicine Physician |
Practice roles (10 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacqueline B. Aguiluz, D.O. Inc | Family Medicine | Current |
Accepting new patients |
| Dignity Health | Past | Accepting new patients | |
| Los Alamitos Medical Center, Inc. | Past | Accepting new patients | |
| Coast Plaza Doctors Hospital | Past | Accepting new patients | |
| Tri-City Hospital | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| Orange Coast Memorial Medical Center | Past | Accepting new patients | |
| Pih Health Downey Hospital | Past | Accepting new patients | |
| Providence Health System Southern California | Past | Accepting new patients | |
| Long Beach Memorial Medical | Past | Accepting new patients |
Locations
21508 Norwalk Blvd
Hawaiian Gdns, CA 90716
Phone (562) 865-5214
13330 Bloomfield Ave
Ste 111
Norwalk, CA 90650
Phone (562) 868-0733
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A7451 | CA | Yes |
Addresses
Primary practice location
21508 Norwalk Blvd
Hawaiian Gardens, CA 90716-1122
Mailing address
21508 Norwalk Blvd
Hawaiian Gardens, CA 90716-1122
Phone (562) 868-0733
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AX74510 | Medicaid | CA |
Other providers in Hawaiian Gardens, CA
- Jennifer Abarca
- Trina Aguilar
- Amable R Aguiluz Jr.
- In Soon Ahn
- Alicia G Nugas MD Inc
- Alicia G Nugas MD Inc.
- Amable Delos Reyes Aguiluz Jr, M.D. Inc
- Amable R. Aguiluz Jr. MD Inc.
All providers in Hawaiian Gardens, CA · Family Medicine 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 Jul 9, 2007. 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.