Active NPI
Laura Marie Aguilar, FNP
- Family Nurse Practitioner
- Riverside, CA
National Provider Identifier
1316319106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95003294
- Practice address
- 3838 Sherman Dr
Suite 3
Riverside, CA 92503-4001 - Phone
- (951) 688-5829
- NPI assigned
- Oct 20, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95003294 | CA | Primary |
Addresses
Primary practice location
3838 Sherman Dr
Suite 3
Riverside, CA 92503-4001
Mailing address
3838 Sherman Dr
Suite 3
Riverside, CA 92503-4001
Phone (951) 688-5829
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151203000886 | CA | Order and Referring Only - Nurse Practitioner | 5193025732 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95003294 | CA | MD | Family Nurse Practitioner |
Interoperability endpoints
- laura.aguilar@1060541286121476.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445299200000",
"number": "1316319106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3838 SHERMAN DR",
"address_2": "SUITE 3",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925034001",
"telephone_number": "951-688-5829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3838 SHERMAN DR",
"address_2": "SUITE 3",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925034001",
"telephone_number": "951-688-5829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUILAR",
"first_name": "LAURA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-20",
"last_updated": "2015-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95003294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.