Active NPI
Stephen D Aguilar, OT
- Occupational Therapist
- San Diego, CA
National Provider Identifier
1215168091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT3482
- Practice address
- 3444 Kearny Villa Rd Ste 200
San Diego, CA 92123-1960 - Phone
- (888) 208-8526
- Fax
- (858) 751-0901
- NPI assigned
- Jul 28, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT3482 | CA | Primary |
Addresses
Primary practice location
3444 Kearny Villa Rd Ste 200
San Diego, CA 92123-1960
Mailing address
3444 Kearny Villa Rd Ste 200
San Diego, CA 92123-1960
Phone (888) 208-8526
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT3482 | Other | CA | CA BOARD OF OCCUPATIONAL THERAPY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT3482 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MDRS Spine & Sport, Inc | Occupational Therapist | Past | Accepting new patients |
| MDRS Spine & Sport, Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1952394603
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248739200000",
"number": "1215168091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3444 KEARNY VILLA RD STE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231960",
"telephone_number": "888-208-8526",
"fax_number": "858-751-0901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3444 KEARNY VILLA RD STE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231960",
"telephone_number": "888-208-8526",
"fax_number": "858-751-0901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUILAR",
"first_name": "STEPHEN",
"middle_name": "D",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-28",
"last_updated": "2009-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT3482",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA BOARD OF OCCUPATIONAL THERAPY",
"identifier": "OT3482",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.