Jose Luis Aguilar Jr., M.D.
Individual provider Active NPI Psychiatry Physician · Colton, CA
NPI 1619255783 · NPPES record last updated Aug 27, 2026
Key facts
- NPI
- 1619255783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- A122466 (CA)
- Practice address
- 400 N Pepper Ave
Colton, CA 92324-1819 - Phone
- (909) 580-1000
- NPI assigned
- Jul 23, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cep America - Psychiatry PC
Practice addresses (Care Compare)
400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-1000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130130000253 | CA | Practitioner - Psychiatry | 7618121518 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A122466 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Psychiatry PC | Psychiatry | Current |
Accepting new patients |
| Cep America - Psychiatry PC | Psychiatry | Current |
Accepting new patients |
| Cep America - Psychiatry PC | Psychiatry | Current | Accepting new patients |
| Eisenhower Medical Center | Past | Accepting new patients |
Locations
400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
Interoperability endpoints
- jose.aguilar.1@10039.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A122466 | CA | Yes |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | A122466 | CA |
Addresses
Primary practice location
400 N Pepper Ave
Colton, CA 92324-1819
Mailing address
12460 California St Unit 1224
Yucaipa, CA 92399-8757
Phone (760) 406-1061
Other providers in Colton, CA
- Helia Aghassi
- Edna O. Agudal
- Melchor Bonete Agudal
- Carmen B Aguilar
- Edith Lucero Aguilar
- Daniel Aguirre
- Jeffrey Jason Agustin
- Marivic Agustin
- Maryam Ahmad
- Joshua Ahn
All providers in Colton, CA · Psychiatry Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.