Individual provider Active NPI

Mikayla Grace Underwood Aguilar, DVM

  • General Practice Physician
  • Philadelphia, PA
National Provider Identifier
1588554372
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
174M00000X Issued in PA
Practice address
3900 Spruce St
Philadelphia, PA 19104-4113
Phone
(215) 746-8387
NPI assigned
Jul 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 174M00000X PA Primary

Addresses

Primary practice location

3900 Spruce St
Philadelphia, PA 19104-4113

Mailing address

407 S 42ND St Apt 1R
Philadelphia, PA 19104-4092

Other identifiers 1

IdentifierTypeStateIssuer
BV017631OtherPASTATE BOARD OF VETERINARY MEDICINE

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

State licenses

LicenseStateTypeSpecialty
174M00000XPAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1588554372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 S 42ND ST APT 1R",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044113",
            "telephone_number": "215-746-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD AGUILAR",
        "first_name": "MIKAYLA",
        "middle_name": "GRACE",
        "credential": "DVM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "174M00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF VETERINARY MEDICINE",
            "identifier": "BV017631",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.