Individual provider Active NPI

Mark Anthony Aragona

  • Critical Care Certified Respiratory Therapist
  • San Diego, CA
National Provider Identifier
1639795057
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Certified Respiratory TherapistTaxonomy code 2278C0205X
License
23302 Issued in CA
Practice address
3567 Shawnee Rd
San Diego, CA 92117-5719
Phone
(161) 993-2941
NPI assigned
Jun 22, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Certified Respiratory Therapist 2278C0205X 23302 CA Primary

Addresses

Primary practice location

3567 Shawnee Rd
San Diego, CA 92117-5719

Mailing address

3451 S Mercy Rd Ste 102
Gilbert, AZ 85297-0206
Phone (619) 932-9419

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

NPI Registry JSON

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1639795057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 S MERCY RD STE 102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970206",
            "telephone_number": "619-932-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3567 SHAWNEE RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175719",
            "telephone_number": "161-993-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAGONA",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Critical Care",
            "state": "CA",
            "license": "23302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.