Organization Active NPI

Aag Medcare Diagnostic Inc

  • Specialist
  • Pacoima, CA
National Provider Identifier
1407220965
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
AAG MEDCARE DIAGNOSTIC INC
Practice address
13172 Van Nuys Blvd
Pacoima, CA 91331-2572
Phone
(818) 697-2880
Fax
(818) 697-2880
NPI assigned
Nov 20, 2015
Last updated
Nov 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Authorized official

Name
Mr. Oscar Aniceto
Title
Owner
Phone
(818) 697-2880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

13172 Van Nuys Blvd
Pacoima, CA 91331-2572

Mailing address

13172 Van Nuys Blvd
Pacoima, CA 91331-2572
Phone (818) 697-2880

National Provider Directory

National Provider Directory

Locations

13172 Van Nuys Blvd
Pacoima, CA 91331
Phone (818) 697-2880

NPI Registry JSON

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1407220965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13172 VAN NUYS BLVD",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913312572",
            "telephone_number": "818-697-2880",
            "fax_number": "818-697-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13172 VAN NUYS BLVD",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913312572",
            "telephone_number": "818-697-2880",
            "fax_number": "818-697-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAG MEDCARE DIAGNOSTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "ANICETO",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-697-2880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacoima, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.