Active NPI
Carlos Aquino
- Specialist
- San Marcos, CA
National Provider Identifier
1366784704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1737
- Practice address
- 950 Boardwalk Ste 304
San Marcos, CA 92078-2639 - Phone
- (760) 917-0372
- NPI assigned
- Mar 24, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 1737 | CA | Primary |
Addresses
Primary practice location
950 Boardwalk Ste 304
San Marcos, CA 92078-2639
Mailing address
164 Estrelita Dr
Vista, CA 92084-7826
Phone (760) 917-0372
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364083200000",
"number": "1366784704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 ESTRELITA DR",
"city": "VISTA",
"state": "CA",
"postal_code": "920847826",
"telephone_number": "760-917-0372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 BOARDWALK STE 304",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920782639",
"telephone_number": "760-917-0372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AQUINO",
"first_name": "CARLOS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-24",
"last_updated": "2013-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "1737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.