Jaime Lacara Aglugub, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

22963 Issued in CA

Practice address

2171 S El Camino Real
Suite 104
Oceanside, CA 92054-6229

Phone

(760) 754-5663

NPI assigned

Jul 30, 2013

Last updated

Jul 30, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1295167443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 S EL CAMINO REAL",
            "address_2": "SUITE 104",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546229",
            "telephone_number": "760-754-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 S EL CAMINO REAL",
            "address_2": "SUITE 104",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546229",
            "telephone_number": "760-754-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGLUGUB",
        "first_name": "JAIME",
        "middle_name": "LACARA",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BD OF REGISTERD NURSE",
            "identifier": "22963",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia Veronica Agcayab, MFT
• Bayan Aghdasi, M.D.
• Agile Occupational Medicine, PC
• Aging Gracefully Care Homes LLC
• Aging Services, Inc. (Assisting Hands of Oceanside and Carlsbad)
• Jennifer Aguado
• Lidia Janette Aguilar
• Roberto Aguilar
• Valerie Aguilar
• Angel Aguilera

• Family Nurse Practitioner in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.