Active NPI
Jose E Aguilar MD a Medical Corporation
- General Practice Physician
- Santa Ana, CA
National Provider Identifier
1477796043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A22133
- Legal business name
- JOSE E AGUILAR MD A MEDICAL CORPORATION
- Practice address
- 1415 N Broadway
Santa Ana, CA 92706-3904 - Phone
- (626) 357-0914
- Fax
- (626) 357-0915
- NPI assigned
- Apr 13, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jose E Aguilar, MD
- Title
- Medical Doctor
- Phone
- (626) 357-9014
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A22133 | CA | Primary |
Addresses
Primary practice location
1415 N Broadway
Santa Ana, CA 92706-3904
Mailing address
1415 N Broadway
Santa Ana, CA 92706-3904
Phone (626) 357-0914
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA 11100 | Medicaid | CA | |
| A22130 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Jose E Aguilar MD a Medical Corporation
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Santa Ana, CA
- NPI 1851705818
-
- Family Nurse Practitioner
- Riverside, CA
- NPI 1164956785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239580800000",
"number": "1477796043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 N BROADWAY",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927063904",
"telephone_number": "626-357-0914",
"fax_number": "626-357-0915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 N BROADWAY",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927063904",
"telephone_number": "626-357-0914",
"fax_number": "626-357-0915"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSE E AGUILAR MD A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-13",
"last_updated": "2009-04-13",
"status": "A",
"authorized_official_last_name": "AGUILAR",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "626-357-9014",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "CA",
"license": "A22133",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PA 11100",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A22130",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
- Yolandi Jooste
- Jane Jordan, MFT
- Jorge R Lopez MD a Professional Medical Corporation
- Jorge Vital DDS Inc (Dental 4)
- Jose E Aguilar M D a Medical Corporation
- Jose L Valdez MD Inc
- Jose Luis Osoria D.D.S.
- Marie-Marie Renee George Jose
- Marievel Cristobal Jose, REGISTERED NURSE
- Joseph Chau Bao Nguyen, Chiropractic, Corp. (South Coast Family Healthcare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.