May Aguilar, RNP

Individual provider Active NPI Nurse Practitioner · Carson, CA

NPI 1407255813 · NPPES record last updated Sep 16, 2020

Key facts

NPI
1407255813
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
NPF95000567 (CA)
Practice address
22992 Serra Dr
Carson, CA 90745-4966
Phone
(424) 558-2582
Fax
(310) 830-1180
NPI assigned
Aug 21, 2014
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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 participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NPF95000567CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mla Health Services Inc Current
since Sep 20, 2020
Accepting new patients
May Aguilar Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NPF95000567 CA Yes

Addresses

Primary practice location

22992 Serra Dr
Carson, CA 90745-4966

Mailing address

20703 Ibex Ave
Lakewood, CA 90715-1533
Phone (424) 558-2585

Other providers in Carson, CA

All providers in Carson, CA · Nurse Practitioner in California

Sources for this page

Verify at the official NPI Registry.