Rosalva Fuentes Aguilar, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA20930 Issued in CA

Practice address

6596 N Winton Way Ste E
Winton, CA 95388-9532

Phone

(209) 357-7755

Fax

(209) 357-7263

NPI assigned

Jun 8, 2010

Last updated

Apr 17, 2018By the provider in NPPES

Sex

Female

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

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

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rosalva.aguilar.p1@direct.castle.nextgenshare.com

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.

• Castle Family Health Centers Inc

  • Clinical Medical Laboratory
  • Atwater, CA
  • NPI 1699953612
  Medicare reassignment
• Castle Family Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Atwater, CA
  • NPI 1861181562
  NPD
• Lumira Healthcare

  dba Modesto Florida Ave Center

  • Federally Qualified Health Center (FQHC)
  • Modesto, CA
  • NPI 1649099151
  NPD (past)

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1346560794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 HOSPITAL RD",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953015173",
            "telephone_number": "209-381-2000",
            "fax_number": "209-357-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6596 N WINTON WAY STE E",
            "city": "WINTON",
            "state": "CA",
            "postal_code": "953889532",
            "telephone_number": "209-357-7755",
            "fax_number": "209-357-7263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "ROSALVA",
        "middle_name": "FUENTES",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reina E Ajquejay
• Ogdulia Armenta
• Fatima Arroyo
• Ana D Bravo R
• Tuesday D. Brower

• Physician Assistant in Winton, CA
• Providers in Winton, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.