David C Aguilar
Individual provider Active NPI Peer Specialist · Oxnard, CA
NPI 1396239554 · NPPES record last updated Apr 24, 2024
Key facts
- NPI
- 1396239554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- License
- MPSS-STJLIG (CA)
- Practice address
- 1911 Williams Dr Ste 165
Oxnard, CA 93036-2612 - Phone
- (805) 981-4233
- Fax
- (805) 981-9268
- NPI assigned
- Jun 20, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MPSS-STJLIG | CA | MD | Peer Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | MPSS-STJLIG | CA | Yes |
Addresses
Primary practice location
1911 Williams Dr Ste 165
Oxnard, CA 93036-2612
Mailing address
106 E 5TH St
Oxnard, CA 93030-7190
Phone (805) 663-7363
Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.