Active NPI
Susan G. Aquino, NP
- Obstetrics & Gynecology Nurse Practitioner
- Pomona, CA
National Provider Identifier
1427235027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 17932
- Practice address
- 1177 N Park Ave
Pomona, CA 91768-3028 - Phone
- (909) 623-9900
- NPI assigned
- Jan 25, 2008
- Last updated
- Jan 25, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 17932 | CA | Primary |
Addresses
Primary practice location
1177 N Park Ave
Pomona, CA 91768-3028
Mailing address
2630 Pointer Dr
Walnut, CA 91789-3561
Phone (909) 595-6272
Other names 1
- Susana Deguzman Aquino
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
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vijay C Katukota, a Medical Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Pomona, CA
- NPI 1760545503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201219200000",
"number": "1427235027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2630 POINTER DR",
"city": "WALNUT",
"state": "CA",
"postal_code": "917893561",
"telephone_number": "909-595-6272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1177 N PARK AVE",
"city": "POMONA",
"state": "CA",
"postal_code": "917683028",
"telephone_number": "909-623-9900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AQUINO",
"first_name": "SUSAN",
"middle_name": "G.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-25",
"last_updated": "2008-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "CA",
"license": "17932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSANA",
"last_name": "AQUINO",
"middle_name": "DEGUZMAN",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.