Individual provider Active NPI

Allen Gonzaga Aguinaldo, CST

  • Surgical Technologist
  • Corpus Christi, TX
National Provider Identifier
1306803465
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
License
102257 CERTIFICATE Issued in TX
Practice address
6118 Parkway
Corpus Christi, TX 78414-2455
Phone
(361) 883-2000
Fax
(361) 883-0573
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X 102257 CERTIFICATE TX Primary

Addresses

Primary practice location

6118 Parkway
Corpus Christi, TX 78414-2455

Mailing address

PO Box 6770
Corpus Christi, TX 78466-6770
Phone (361) 883-2000

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
102257 CERTIFICATETXMDSurgical Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Surgery and Sports Medicine Associates, L.L.P. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1306803465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6770",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784666770",
            "telephone_number": "361-883-2000",
            "fax_number": "361-883-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6118 PARKWAY",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784142455",
            "telephone_number": "361-883-2000",
            "fax_number": "361-883-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUINALDO",
        "first_name": "ALLEN",
        "middle_name": "GONZAGA",
        "name_prefix": "Mr.",
        "credential": "CST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "TX",
            "license": "102257 CERTIFICATE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.