Abraham Aguirre
Individual provider Active NPI Case Manager/Care Coordinator · Pomona, CA
NPI 1508513623 · NPPES record last updated Jun 20, 2023
Key facts
- NPI
- 1508513623
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 831 E Arrow Hwy
Pomona, CA 91767-2535 - Phone
- (909) 626-4244
- NPI assigned
- Mar 8, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Community Health Worker | 172V00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
831 E Arrow Hwy
Pomona, CA 91767-2535
Mailing address
18612 Santa Ana Ave
Bloomington, CA 92316-2639
Phone (909) 421-7120
Other practice location 1
18612 Santa Ana Ave
Bloomington, CA 92316-2639
Phone (909) 421-7120 ext. 300
Other providers in Pomona, CA
- Jaime Aguilar
- Lindsay Aguilar I
- Nubia Reyna Aguilar
- Yesenia L Aguilar
- Hope Marie Aguilera
- Angela Maria Aguirre
- Byron Aguirre
- Daisy Marlene Aguirre
- Desirae Nicole Aguirre
- Jennifer Aguirre
All providers in Pomona, CA · Case Manager/Care Coordinator in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.