Active NPI
Ayesha S. Pagano, SW III
- Case Manager/Care Coordinator
- El Cajon, CA
National Provider Identifier
1386764074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 6303
- Practice address
- 151 Van Houten Ave
El Cajon, CA 92020-4429 - Phone
- (619) 401-3636
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 6303 | CA | Primary |
Addresses
Primary practice location
151 Van Houten Ave
El Cajon, CA 92020-4429
Mailing address
6675 Mission Gorge Rd Apt A300
San Diego, CA 92120-2321
Phone (619) 507-3047
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6303 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386764074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6675 MISSION GORGE RD APT A300",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921202321",
"telephone_number": "619-507-3047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 VAN HOUTEN AVE",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920204429",
"telephone_number": "619-401-3636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGANO",
"first_name": "AYESHA",
"middle_name": "S.",
"name_prefix": "Ms.",
"credential": "SW III",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": "6303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.