Individual provider Active NPI

Melissa Aguas

  • Case Manager/Care Coordinator
  • San Jose, CA
National Provider Identifier
1568040731
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2000 Kammerer Ave
San Jose, CA 95116-3016
Phone
(510) 980-8950
Fax
(408) 293-1000
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

2000 Kammerer Ave
San Jose, CA 95116-3016

Mailing address

2000 Kammerer Ave
San Jose, CA 95116-3016
Phone (510) 980-8950

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kidango CurrentSince Jul 1, 2022 Accepting new patients

Locations

777 N 1st St
Ste 220
San Jose, CA 95112
Phone (408) 828-9221

2000 Kammerer Ave
San Jose, CA 95116
Phone (408) 315-7678

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1568040731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 KAMMERER AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951163016",
            "telephone_number": "510-980-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 KAMMERER AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951163016",
            "telephone_number": "510-980-8950",
            "fax_number": "408-293-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUAS",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.