Jordan Aguayo Perez

Primary specialty

Social WorkerTaxonomy code 104100000X

License

124429 Issued in CA

Practice address

1272 Center Court Dr Ste 101
Covina, CA 91724-3667

Phone

(626) 413-4916

NPI assigned

Oct 16, 2024

Last updated

Feb 26, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Henriquez Counseling and Wellness

  • Clinical Social Worker
  • West Covina, CA
  • NPI 1871178046
  NPD

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1326868068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 CENTER COURT DR STE 101",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243667",
            "telephone_number": "626-413-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 CENTER COURT DR STE 101",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243667",
            "telephone_number": "626-413-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUAYO PEREZ",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-16",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "124429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Business Enterprise
• Roseline Modupe Afolayan, REGISTERED NURSE
• Scott Agreen, M.S., LMFT
• Christel Ann Agtina
• Dennin A Aguayo Merino
• Margot Aguayo
• Giselle Esmeralda Aguilar Avila
• Asdril Yenifer Aguilar Lopez
• Emely Aguilar
• Jackeline Aguilar

• Social Worker in Covina, CA
• Providers in Covina, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.