Gerard Raymond Perez Aguas, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49262 Issued in CA

Practice address

1140 E Chevy Chase Dr
Glendale, CA 91205-2511

Phone

(818) 247-3387

Fax

(818) 247-2680

NPI assigned

Mar 28, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Daniel T. Estacio, DDS, Inc.

  • Preferred Provider Organization
  • Glendale, CA
  • NPI 1649467291
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487773594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 E CHEVY CHASE DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052511",
            "telephone_number": "818-247-3387",
            "fax_number": "818-247-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 E CHEVY CHASE DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052511",
            "telephone_number": "818-247-3387",
            "fax_number": "818-247-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUAS",
        "first_name": "GERARD RAYMOND",
        "middle_name": "PEREZ",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL RENDERING PROVID",
            "identifier": "D-49262",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aghbashian Dental Corp.
• Agile Occupational Medicine, PC
• Agl Hospice Inc
• Agm Transportation, LLC.
• Agop Aintablian MD Inc
• Christopher Aguilar
• Jocelynn Aguilar, OTR/L
• Gabriela Aguirre Sandoval
• Bradley Jay Aguirre, D.P.M.
• Edgar Agvanyan, M.D.

• General Practice Dentistry in Glendale, CA
• Providers in Glendale, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.