Andrew Crystian Aguirre, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Placentia, CA
NPI 1215644232 · NPPES record last updated Oct 31, 2022
Key facts
- NPI
- 1215644232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- NP95021927 (CA)
- Practice address
- 249 Tiger LN
Placentia, CA 92870-4349 - Phone
- (714) 305-2119
- NPI assigned
- Oct 31, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- High Desert Medical Corporation
Practice addresses (Care Compare)
43839 15TH St W
Lancaster, CA 93534-4756
Phone (661) 945-5984
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230328001654 | CA | Practitioner - Nurse Practitioner | 2668846924 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95021927 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Desert Medical Group | Current |
Accepting new patients |
Locations
43839 15th St W
Lancaster, CA 93534
Phone (661) 945-5984
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP95021927 | CA | Yes |
Addresses
Primary practice location
249 Tiger LN
Placentia, CA 92870-4349
Mailing address
PO Box 73
Placentia, CA 92871-0073
Phone (714) 305-2119
Other providers in Placentia, CA
- Yvette Aguilar-Kettering
- Emilia Alejandra Aguilar
- Jesus Alberto Aguilar
- Ramon Octiviano Aguilar
- Alejandra Aguirre I
- Clarissa Leoni Aguirre
- Aj Acupuncture Clinic
- Jeanice Laray Akee
- Celicia Alaniz
- Isabelle Alarid
All providers in Placentia, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2022. 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.