Carlos Ulises Aguilera Canchola, D.D.S.
Individual provider Active NPI Dentist · Lancaster, CA
NPI 1629935358 · NPPES record last updated Jan 6, 2026
Key facts
- NPI
- 1629935358
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 112512 (CA)
- Practice address
- 43456 10TH St. West
Lancaster, CA 93534 - Phone
- (216) 308-2216
- NPI assigned
- Jan 6, 2026
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112512 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 112512 | CA | Yes |
Addresses
Primary practice location
43456 10TH St. West
Lancaster, CA 93534
Mailing address
39812 25TH Street West
Palmdale, CA 93551
Phone (619) 605-5293
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2026. 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.