Individual provider Active NPI

Carlos Martin Aguilar, PA-C

  • Medical Physician Assistant
  • Tucson, AZ
National Provider Identifier
1477520484
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3432 Issued in AZ
Practice address
1460 W Valencia Rd Ste 141
Tucson, AZ 85746-6001
Phone
(520) 573-0966
Fax
(520) 298-9230
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 3432 AZ Primary

Addresses

Primary practice location

1460 W Valencia Rd Ste 141
Tucson, AZ 85746-6001

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Other practice location 1

6036 N 19th Ave
Suite 402
Phoenix, AZ 85015-2106
Phone (602) 249-0115

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110222000563 AZ Practitioner - Physician Assistant 0244411486 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Phoenix Collaborative Care PC 111 clinicians
Arizona Acute Medical Services 1 PC 49 clinicians

Practice addresses (Care Compare)

1460 W Valencia Rd
Tucson, AZ 85746-6001
Phone (520) 573-0966

1551 E Tangerine Rd
Oro Valley, AZ 85755-6213
Phone (520) 901-3500

1921 W Hospital Dr
Tucson, AZ 85704-7806
Phone (520) 544-5200

5830 N 19TH Ave
Phoenix, AZ 85015-2494
Phone (602) 336-1966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3432AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Suvida Healthcare Clinical Services LLC Physician Assistant CurrentSince Mar 1, 2026 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Feb 1, 2016 Accepting new patients
Hospitalists of Arizona, LLC Past Accepting new patients
Arizona Medical Services, PC PastSince Apr 28, 2005 Accepting new patients

Locations

695 S Pecan Tree Ln
Green Valley, AZ 85614
Phone (520) 625-8116

1119 E Rancho Vistoso Blvd
Oro Valley, AZ 85755
Phone (520) 825-4669

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

4530 N 32nd St
Ste 104
Phoenix, AZ 85018
Phone (520) 613-2967

6036 N 19th Ave
Ste 402
Phoenix, AZ 85015
Phone (602) 249-0115

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

3728 S 16th Ave
Tucson, AZ 85713
Phone (520) 613-2967

1669 W Ina Rd
Ste 141
Tucson, AZ 85704
Phone (520) 795-6183

1460 W Valencia Rd
Ste 141
Tucson, AZ 85746
Phone (520) 573-0966

1460 W Valencia Rd
Tucson, AZ 85746
Phone (520) 573-0966

1227 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 613-2967

211 E 7th St
Ste 700
Austin, TX 78701
Phone (346) 639-3438

Interoperability endpoints

  • Direct secure messaging: caguilar113265@westdirect.optum.com

Organizations & group practices 9

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1477520484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203",
            "fax_number": "702-838-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 W VALENCIA RD STE 141",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857466001",
            "telephone_number": "520-573-0966",
            "fax_number": "520-298-9230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6036 N 19th Ave",
            "address_2": "Suite 402",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850152106",
            "country_code": "US",
            "telephone_number": "602-249-0115",
            "fax_number": "602-246-0837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "CARLOS",
        "middle_name": "MARTIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "3432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.