Individual provider Active NPI

Graciela Esquivel-Aguilar, M.D.

  • Pediatrics Physician
  • Fresno, CA
National Provider Identifier
1295837177
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A35880 Issued in CA
Practice address
3748 E Shields Ave
Fresno, CA 93726-7028
Phone
(559) 224-7272
Fax
(559) 224-7290
NPI assigned
Sep 2, 2006
Last updated
Jan 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A35880 CA Primary

Addresses

Primary practice location

3748 E Shields Ave
Fresno, CA 93726-7028

Mailing address

3748 E Shields Ave
Fresno, CA 93726-7028
Phone (559) 224-7272

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
I20180514002598 CA Practitioner - Pediatric Medicine 5496648289 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A35880CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Family Health Current Accepting new patients
Omni Family Health CurrentSince May 1, 2018 Accepting new patients
Omni Family Health CurrentSince May 1, 2018 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Saint Agnes Medical Center Past Accepting new patients
Omni Family Health Past Accepting new patients

Locations

4900 California Ave
Ste 400B
Bakersfield, CA 93309
Phone (661) 630-7046

277 E Front St
Buttonwillow, CA 93206
Phone (661) 630-7381

3748 E Shields Ave
Fresno, CA 93726
Phone (559) 224-7272

925 G St
Reedley, CA 93654
Phone (559) 558-9712

Interoperability endpoints

  • Direct secure messaging: graciela.esquivelaguilar.p1@direct.omnifamilyhealth.nextgenshare.com

Organizations & group practices 6

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1295837177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3748 E SHIELDS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937267028",
            "telephone_number": "559-224-7272",
            "fax_number": "559-224-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3748 E SHIELDS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937267028",
            "telephone_number": "559-224-7272",
            "fax_number": "559-224-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESQUIVEL-AGUILAR",
        "first_name": "GRACIELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A35880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.