Organization Active NPI

Sergio Aguila DDS,Inc

  • Durable Medical Equipment & Medical Supplies
  • Victorville, CA
National Provider Identifier
1346865276
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SERGIO AGUILA DDS,INC
Practice address
13790 Bear Valley Rd Ste E7
Victorville, CA 92392-8699
Phone
(760) 964-8058
NPI assigned
Jun 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Authorized official

Name
Dr. Sergio Aguila, DDSNPI 1184753071
Title
Ceo
Phone
(760) 964-8058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

13790 Bear Valley Rd Ste E7
Victorville, CA 92392-8699

Mailing address

13790 Bear Valley Rd Ste E7
Victorville, CA 92392-8699
Phone (760) 964-8058

National Provider Directory

National Provider Directory

Locations

13790 Bear Valley Rd
Ste E7
Victorville, CA 92392
Phone (760) 964-8058

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1346865276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13790 BEAR VALLEY RD STE E7",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923928699",
            "telephone_number": "760-964-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13790 BEAR VALLEY RD STE E7",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923928699",
            "telephone_number": "760-964-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGIO AGUILA DDS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "AGUILA",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-964-8058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.