Individual provider Active NPI

Andrea Alicia Aguirre, OD

  • Optometrist
  • San Francisco, CA
National Provider Identifier
1477440840
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
36030 Issued in CA
Practice address
380 W Portal Ave
San Francisco, CA 94127-1428
Phone
(415) 753-0284
NPI assigned
Jun 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 36030 CA Primary

Addresses

Primary practice location

380 W Portal Ave
San Francisco, CA 94127-1428

Mailing address

1163 Alabama St Unit a
San Francisco, CA 94110-3434
Phone (480) 316-8292

Other practice location 1

490 Post St Ste 933
San Francisco, CA 94102-1414
Phone (415) 392-4437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250725001392 CA Order and Referring Only - OptometryPractitioner - Optometry 2163939109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36030CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lillie Mosaddegh MD Inc Current Accepting new patients

Locations

380 West Portal Ave
Ste B
San Francisco, CA 94127
Phone (415) 392-4437

Interoperability endpoints

  • Direct secure messaging: aaguirre@sfeyedoctors.intellechartdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1477440840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 ALABAMA ST UNIT A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103434",
            "telephone_number": "480-316-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 W PORTAL AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941271428",
            "telephone_number": "415-753-0284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "490 Post St Ste 933",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941021414",
            "country_code": "US",
            "telephone_number": "415-392-4437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGUIRRE",
        "first_name": "ANDREA",
        "middle_name": "ALICIA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "36030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.