Organization Active NPI

Aguiluz Medical Corporation, Inc

  • General Practice Physician
  • Burbank, CA
National Provider Identifier
1285948927
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
20A7451 Issued in CA
Legal business name
AGUILUZ MEDICAL CORPORATION, INC
Practice address
10970 Sherman Way
Burbank, CA 91505-1002
Phone
(818) 847-1007
NPI assigned
Aug 5, 2010
Last updated
Aug 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Authorized official

Name
Dr. Jacqueline B Aguiluz, D.O.
Title
President
Phone
(562) 533-3279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 20A7451 CA Primary

Addresses

Primary practice location

10970 Sherman Way
Burbank, CA 91505-1002

Mailing address

10970 Sherman Way
Burbank, CA 91505-1002
Phone (818) 847-1007

National Provider Directory

National Provider Directory

Locations

10970 Sherman Way
Burbank, CA 91505
Phone (818) 847-1007

NPI Registry JSON

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1285948927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10970 SHERMAN WAY",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915051002",
            "telephone_number": "818-847-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10970 SHERMAN WAY",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915051002",
            "telephone_number": "818-847-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGUILUZ MEDICAL CORPORATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "AGUILUZ",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-533-3279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A7451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.