NPIMap

Organization Active NPI

Corazon T Aguilar, MD, PC

Doing business as Guardian Angels Health Center

  • Pediatrics Physician
  • Aurora, CO
National Provider Identifier
1770604662
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CORAZON T AGUILAR, MD, PC
Doing business as
Guardian Angels Health Center
Practice address
1550 S Potomac St Ste 230
Aurora, CO 80012-5455
Phone
(303) 369-1077
Fax
(303) 369-9785
NPI assigned
Apr 2, 2007
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary
Exclusive Provider Organization 302F00000X 19924 CO

Addresses

Primary practice location

1550 S Potomac St Ste 230
Aurora, CO 80012-5455

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
90653734MedicaidCO

Other names 1

  • Guardian Angels Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180102002567 CO Part B Supplier - Clinic/Group Practice 0648538256 Receives reassigned benefits from 6 practitioners
Practice locations: Aurora, CO

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1770604662",
    "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": "303-369-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAZON T AGUILAR, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2019-06-11",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CO",
            "license": "19924",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90653734",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Angels Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.