Soledad Rose Aguayo, BA

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

1950 Parallel Dr
Lakeport, CA 95453-9388

Phone

(707) 263-3949

Fax

(707) 263-3985

NPI assigned

Sep 24, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

Practice roles

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.

• Easter Seals Bay Area

  • Early Intervention Provider Agency
  • Lakeport, CA
  • NPI 1427526847
  NPD (past)

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1487138558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 PARALLEL DR",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954539388",
            "telephone_number": "707-263-3949",
            "fax_number": "707-263-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 PARALLEL DR",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954539388",
            "telephone_number": "707-263-3949",
            "fax_number": "707-263-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUAYO",
        "first_name": "SOLEDAD",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adventist Health Clearlake Hospital, Inc
• Adventist Health Physicians Network
• Adventist Health Physicians Network
• Adventist Health Physicians Network
• Advocate for Independent Living
• Diane Alcala
• Daniel Alekyan, DO
• Alexander R. McGeoch, DDS, Apc
• Mohamad Moutaz Almawaldi, MD
• Alpha Respiratory Inc.

• All providers in Lakeport, CA
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.