Individual provider Active NPI

Trinidad Aguilar, M.D.

  • Internal Medicine Physician
  • Burbank, CA
National Provider Identifier
1184790396
Registry record updated Jan 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G079465 Issued in CA
Practice address
303 S Glenoaks Blvd
Suite 4
Burbank, CA 91502-1319
Phone
(818) 845-7228
Fax
(818) 845-7298
NPI assigned
Nov 28, 2006
Last updated
Jan 31, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G079465 CA Primary

Addresses

Primary practice location

303 S Glenoaks Blvd
Suite 4
Burbank, CA 91502-1319

Mailing address

303 S Glenoaks Blvd
Suite 4
Burbank, CA 91502-1319
Phone (818) 845-7228

Other identifiers 2

IdentifierTypeStateIssuer
00G794650MedicaidCA
G079465OtherCASTATE LICENSE NUMBER

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
I20090729000464 CA Practitioner - Internal Medicine 3678651734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, Geffen School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

303 S Glenoaks Blvd
Suite 4
Burbank, CA 91502-1193
Phone (818) 845-7024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G079465CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinidad Aguilar, M.D., Inc. Internal Medicine CurrentSince May 30, 2011 Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Locations

303 S Glenoaks Blvd
Ste 4
Burbank, CA 91502
Phone (818) 845-7024

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: aguilartrinidad.216.5375@securemailmdscloud.mdsynergy.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264896000000",
    "number": "1184790396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S GLENOAKS BLVD",
            "address_2": "SUITE 4",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021319",
            "telephone_number": "818-845-7228",
            "fax_number": "818-845-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S GLENOAKS BLVD",
            "address_2": "SUITE 4",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021319",
            "telephone_number": "818-845-7228",
            "fax_number": "818-845-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "TRINIDAD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2010-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G079465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G794650",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "G079465",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.