Amy Lee Aguilar

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95013304 Issued in CA

Practice address

2250 S Main St Ste 205
Corona, CA 92882-2507

Phone

(951) 808-6298

NPI assigned

Feb 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern California Physician Network, IncGroup PAC ID 4880910405, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Southern California Physician Network, Inc

  • Internal Medicine Physician
  • Corona, CA
  • NPI 1083002075
  Medicare reassignment Care Compare group NPD
• Citrus Valley Medical Associates, Inc.

  dba Circle City Medical Group

  • Family Medicine Physician
  • Norco, CA
  • NPI 1306033709
  Medicare reassignment NPD
• Corona Health Specialty Associates, LLC

  • Urgent Care Clinic/Center
  • Corona, CA
  • NPI 1659971042
  Medicare reassignment NPD

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1790319796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 S MAIN ST STE 205",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928822507",
            "telephone_number": "951-808-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 S MAIN ST STE 205",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928822507",
            "telephone_number": "951-808-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "AMY",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Agajanian, LCSW
• Agape Group, Inc (Caring Angels Hospice)
• Obi Etengeneng Agbor, LVN
• Theophilus Agbor Agbor, REGISTERED NURSE
• Elizabeth Rose Agramonte
• Anissa Monique Aguilar
• Liliana Aguirre Morales
• Christian Aguirre
• Felicia Abena Agyemang Wiredu, LICENSE NURSE
• Milan Ahir

• Family Nurse Practitioner in Corona, CA
• Providers in Corona, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.