Nicolas Aguilera Jr., M.D.
Individual provider Active NPI Internal Medicine Physician · Vacaville, CA
NPI 1780876508 · NPPES record last updated Aug 15, 2007
Key facts
- NPI
- 1780876508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A73773 (CA)
- Practice address
- 1600 California Dr
Vacaville, CA 95687 - Phone
- (707) 453-7007
- Fax
- (707) 453-7009
- NPI assigned
- Aug 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A73773 | CA | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A73773 | CA | Yes |
Addresses
Primary practice location
1600 California Dr
Vacaville, CA 95687
Mailing address
1600 California Dr
Vacaville, CA 95687
Phone (707) 453-7007
Other providers in Vacaville, CA
- Isaac Agbettor
- Ages Learning Solutions
- Imani Margarira Aguiar-Garcia
- Rosaura Iveth Aguilar
- Cristina Aguilera
- Martin Aguirre
- Huma Javed Ahmad
- Azim M. Ahmady
- Leanna Marie Aho
- Aileen V. Manzano D.M.D. Inc.
All providers in Vacaville, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.