Organization Active NPI

Jose E Aguilar MD a Medical Corporation

  • General Practice Physician
  • Santa Ana, CA
National Provider Identifier
1477796043
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A22133 Issued in CA
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

Updated by the provider on Apr 13, 2009

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
PA 11100MedicaidCA
A22130MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Jose E Aguilar MD a Medical Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.