Active NPI
Hector Manuel Aguilar, PA
- Physician Assistant
- Fresno, CA
National Provider Identifier
1679710644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA20147
- Practice address
- 2505 Merced St
Fresno, CA 93721-1811 - Phone
- (559) 445-0391
- Fax
- (559) 445-0316
- NPI assigned
- Jan 13, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA20147 | CA | Primary |
Addresses
Primary practice location
2505 Merced St
Fresno, CA 93721-1811
Mailing address
7281 W Menlo Ave
Fresno, CA 93723-9349
Phone (559) 647-3679
Other practice location 1
271 N L St
Dinuba, CA 93618-2107
Phone (559) 591-1820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA20147 | Other | CA | PHYSICIAN ASSISTANT COMMITTEE, THE MEDICAL BOARD OF CALIFORNIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140811000081 | CA | Order and Referring Only - Physician Assistant | 3577780840 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20147 | CA | MD | Speech-Language Pathologist |
Interoperability endpoints
- hector.aguilar.p1@direct.ariachc.nextgenshare.com
- hector.aguilar.1@17661.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1679710644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7281 W MENLO AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937239349",
"telephone_number": "559-647-3679",
"fax_number": "559-445-0316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 MERCED ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211811",
"telephone_number": "559-445-0391",
"fax_number": "559-445-0316"
}
],
"practiceLocations": [
{
"address_1": "271 N L St",
"address_purpose": "LOCATION",
"city": "Dinuba",
"state": "CA",
"postal_code": "936182107",
"country_code": "US",
"telephone_number": "559-591-1820",
"fax_number": "559-591-8225",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGUILAR",
"first_name": "HECTOR",
"middle_name": "MANUEL",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-13",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA20147",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN ASSISTANT COMMITTEE, THE MEDICAL BOARD OF CALIFORNIA",
"identifier": "PA20147",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.