Angel Ray Agudo

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

225 S 11TH St
San Jose, CA 95112-2135

Phone

(909) 835-5233

NPI assigned

Sep 24, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1790187482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 W 6TH ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924112678",
            "telephone_number": "909-835-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S 11TH ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951122135",
            "telephone_number": "909-835-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUDO",
        "first_name": "ANGEL",
        "middle_name": "RAY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-24",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivek Kumar Agrawal, MD
• Sophia Renee Agreda, MS, RDN
• Yolanda Zamora Agredano de Moreno, M.D.
• Maricela E Aguaristi, PHYSICIAN ASSISTANT
• Melissa Aguas
• Kiara Aguiar Valentin
• Juancarlos Aguila
• Melissa Aguila
• Whitney Aguila
• Josue David Aguilar Abrego

• Behavior Technician in San Jose, CA
• Providers in San Jose, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.