Individual provider Active NPI

Nelie Lucero-Aguirre, CERTIFIED WOUND SPEC

  • Family Nurse Practitioner
  • West Covina, CA
National Provider Identifier
1750602827
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95040531 Issued in CA
Practice address
905 S Glendora Ave
West Covina, CA 91790-4205
Phone
(622) 488-9940
Fax
(877) 350-4077
NPI assigned
Jun 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95040531 CA
Specialist 174400000X RN370733 CA
Family Nurse Practitioner 363LF0000X 95040531 CA Primary

Addresses

Primary practice location

905 S Glendora Ave
West Covina, CA 91790-4205

Mailing address

905 S Glendora Ave
West Covina, CA 91790-4205
Phone (622) 488-9940

Other names 1

  • Nelie Lucero-Aguirre Professional name

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

State licenses

LicenseStateTypeSpecialty
RN370733CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Accord Hospice and Palliative Care, Inc. Current Accepting new patients

Organizations & group practices 1

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": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1750602827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 S GLENDORA AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904205",
            "telephone_number": "622-488-9940",
            "fax_number": "877-350-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 S GLENDORA AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904205",
            "telephone_number": "622-488-9940",
            "fax_number": "877-350-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCERO-AGUIRRE",
        "first_name": "NELIE",
        "credential": "CERTIFIED WOUND SPEC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-11",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95040531",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "RN370733",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95040531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NELIE",
            "last_name": "LUCERO-AGUIRRE",
            "credential": "R.N. FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.