Individual provider Active NPI

Nelson Aguilar, PA

  • Medical Physician Assistant
  • Irvine, CA
National Provider Identifier
1477995504
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
7652 Issued in AZ
Practice address
8134 Spectrum
Irvine, CA 92618-7359
Phone
(904) 657-8524
NPI assigned
Jul 17, 2013
Last updated
Jul 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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 7652 AZ Primary

Addresses

Primary practice location

8134 Spectrum
Irvine, CA 92618-7359

Mailing address

5475 N Via Sempreverde
Tucson, AZ 85750-5973
Phone (714) 718-4286

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
I20200206001861 AZ Practitioner - Physician Assistant 4688997125 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1818 E Sky Harbor Cir N
Suite 150
Phoenix, AZ 85034-3410
Phone (602) 244-9500

4600 S Park Ave
Suite 5
Tucson, AZ 85714-1697
Phone (520) 889-9574

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52846CAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Arizona Urgent Care LLC Multi-Specialty CurrentSince Jul 18, 2022 Accepting new patients
Southern Arizona Urgent Care, LLC CurrentSince Jul 18, 2022 Accepting new patients
American Current Care of Arizona PA Multi-Specialty CurrentSince Jan 13, 2020 Accepting new patients

Locations

1110 E Route 66
Ste 100
Flagstaff, AZ 86001
Phone (928) 527-1920

1218 W Irvington Rd
Ste 150
Tucson, AZ 85714
Phone (520) 829-6442

2945 W Ina Rd
Ste 103
Tucson, AZ 85741
Phone (520) 289-8018

3662 W Ina Rd
Ste 150
Tucson, AZ 85741
Phone (520) 900-7020

7725 N Oracle Rd
Ste 131
Tucson, AZ 85704
Phone (520) 544-2273

90 W River Rd
Tucson, AZ 85704
Phone (520) 912-4200

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1477995504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 N VIA SEMPREVERDE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857505973",
            "telephone_number": "714-718-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8134 SPECTRUM",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926187359",
            "telephone_number": "904-657-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "NELSON",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-17",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "7652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.