Individual provider Active NPI

Alfredo Aguilar Marin

  • Rehabilitation Practitioner
  • San Diego, CA
National Provider Identifier
1497394688
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
1865 Hotel Cir S
San Diego, CA 92108-3319
Phone
(619) 673-8116
NPI assigned
Jan 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X Primary

Addresses

Primary practice location

1865 Hotel Cir S
San Diego, CA 92108-3319

Mailing address

1865 Hotel Cir S
San Diego, CA 92108-3319
Phone (619) 673-8116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1578182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1497394688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 HOTEL CIR S",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083319",
            "telephone_number": "619-673-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 HOTEL CIR S",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083319",
            "telephone_number": "619-673-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR MARIN",
        "first_name": "ALFREDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-05",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.