Jose Julio Aguinada, DPT

Individual provider Active NPI Physical Therapist · Los Angeles, CA

NPI 1356067151 · NPPES record last updated Jun 5, 2023

Key facts

NPI
1356067151
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
302968 (CA)
Practice address
6041 Cadillac Ave
Los Angeles, CA 90034-1702
Phone
(833) 574-2273
NPI assigned
Oct 13, 2022
Sex
Male
Sole proprietor
No

Organizations & group practices 6

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Permanente Medical Group (11,250 clinicians)

Practice addresses (Care Compare)

6041 Cadillac Ave
Los Angeles, CA 90034-1702
Phone (800) 954-8000

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240426001666 CA Practitioner - Physical Therapist in Private Practice 3072953876 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group Current
since Mar 13, 2024
Accepting new patients
Southern California Permanente Medical Group Current
since Mar 13, 2024
Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients

Locations

6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 302968 CA Yes

Addresses

Primary practice location

6041 Cadillac Ave
Los Angeles, CA 90034-1702

Mailing address

5009 Caspian Dr
Oceanside, CA 92057-6208
Phone (347) 282-0650

Electronic endpoints

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Other providers in Los Angeles, CA

All providers in Los Angeles, CA · Physical Therapist in California

Sources for this page

Verify at the official NPI Registry.