Organization Active NPI

Corazon T. Aguilar, M.D., P.C.

  • Family Medicine Physician
  • Denver, CO
National Provider Identifier
1750825923
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31358 Issued in CO
Legal business name
CORAZON T. AGUILAR, M.D., P.C.
Practice address
1214 S Sheridan Blvd
Denver, CO 80232-8022
Phone
(720) 506-4868
Fax
(303) 935-7597
NPI assigned
Dec 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Authorized official

Name
Vannehe Eich
Title
Operations
Phone
(303) 369-1077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 31358 CO Primary

Addresses

Primary practice location

1214 S Sheridan Blvd
Denver, CO 80232-8022

Mailing address

1550 S Potomac St Ste 230
Aurora, CO 80012-5455
Phone (303) 369-1077

Other identifiers 2

IdentifierTypeStateIssuer
01199124MedicaidCO
01313584MedicaidCO

Other names 1

  • Guardian Angels Health Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543190400000",
    "number": "1750825923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 S POTOMAC ST STE 230",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800125455",
            "telephone_number": "303-369-1077",
            "fax_number": "303-369-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 S SHERIDAN BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802328022",
            "telephone_number": "720-506-4868",
            "fax_number": "303-935-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAZON T. AGUILAR, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2018-11-26",
        "status": "A",
        "authorized_official_last_name": "EICH",
        "authorized_official_first_name": "VANNEHE",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "303-369-1077"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "31358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01199124",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01313584",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Angels Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.