Individual provider Active NPI

Arturo Javier Aguilar, MD

  • Sports Medicine (Family Medicine) Physician
  • Huntington Beach, CA
National Provider Identifier
1659596435
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
A119794 Issued in CA
Practice address
17762 Beach Blvd
Suite 220
Huntington Beach, CA 92647-6860
Phone
(714) 848-0080
NPI assigned
Apr 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 245518 MA
Sports Medicine (Family Medicine) Physician 207QS0010X A119794 CA Primary

Addresses

Primary practice location

17762 Beach Blvd
Suite 220
Huntington Beach, CA 92647-6860

Mailing address

17762 Beach Blvd
Suite 220
Huntington Beach, CA 92647-6860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101018000782 MA Practitioner - Family Practice 5395938765 Reassigns benefits to 2 organizations
I20160224001126 CA Practitioner - Sports MedicinePractitioner - Family Practice 5395938765 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A119794CAMDSports Medicine (Family Medicine) Physician
245518MAMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorialcare Medical Foundation CurrentSince Feb 1, 2016 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
Carbon Health Primary Care of Florida PA CurrentSince Jun 24, 2022 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Aug 24, 2022 Accepting new patients
Carbon Health Primary Care of Florida PA CurrentSince Jun 24, 2022 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Aug 24, 2022 Accepting new patients
Boston University Family Medicine, Inc. Past Accepting new patients

Locations

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592

17762 Beach Blvd
Ste 220
Huntington Beach, CA 92647
Phone (714) 848-0080

573 Worcester Rd
#2
Framingham, MA 01701
Phone (508) 202-4161

1 Boston Medical Ctr Pl
Roxbury, MA 02118
Phone (617) 414-5245

Interoperability endpoints

  • Direct secure messaging: aaguilar171165@direct.bmc.masshiway.net

Organizations & group practices 7

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1659596435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17762 BEACH BLVD",
            "address_2": "SUITE 220",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17762 BEACH BLVD",
            "address_2": "SUITE 220",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476860",
            "telephone_number": "714-848-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "ARTURO",
        "middle_name": "JAVIER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MA",
            "license": "245518",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "A119794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.