Jennifer Vergara Aguila, ARNP
Individual provider Active NPI Family Nurse Practitioner · San Mateo, CA
NPI 1437434693 · NPPES record last updated Mar 16, 2021
Key facts
- NPI
- 1437434693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 21338 (CA)
- Practice address
- 951 Mariners Island Blvd Ste 300
San Mateo, CA 94404-1560 - Phone
- (772) 217-4557
- Fax
- (888) 352-7383
- NPI assigned
- Oct 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21338 | CA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21338 | CA | Yes |
Addresses
Primary practice location
951 Mariners Island Blvd Ste 300
San Mateo, CA 94404-1560
Mailing address
7240 E Yale Ave
Fresno, CA 93737-0007
Phone (904) 654-8725
Other providers in San Mateo, CA
- Agility Health
- Aging in Place San Mateo LLC
- Judy Lea Amian Agloro
- Kristin Agrimson
- Elizabeth Yasmin Aguas Gutierrez
- Andrea Elizabeth Aguilar
- Barbara Aguilar
- Michelle Aguilar
- Larry Alexander Aguilera
- Bianca Yamilette Aguiniga Pantoja
All providers in San Mateo, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2021. 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.