Active NPI
Peter Aguero IV
- Marriage & Family Therapist
- Yorba Linda, CA
National Provider Identifier
1801276357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 86268
- Practice address
- 18210 Yorba Linda Blvd Ste 404
Yorba Linda, CA 92886-4060 - Phone
- (714) 646-8010
- NPI assigned
- May 30, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 86268 | CA | Primary |
Addresses
Primary practice location
18210 Yorba Linda Blvd Ste 404
Yorba Linda, CA 92886-4060
Mailing address
4 Paseo Azuceno
Rancho Santa Margarita, CA 92688-2893
Phone (949) 456-0067
Other names 1
- Mr. Peter David Aguero IV
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19742 Macarthur Blvd
Suite 125
Irvine, CA 92612-2430
Phone (714) 646-8034
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86268 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caduceus Physicians Medical Group | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychologist
- Irvine, CA
- NPI 1467984377
-
- Family Medicine Physician
- Yorba Linda, CA
- NPI 1497702724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433116800000",
"number": "1801276357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 PASEO AZUCENO",
"city": "RANCHO SANTA MARGARITA",
"state": "CA",
"postal_code": "926882893",
"telephone_number": "949-456-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18210 YORBA LINDA BLVD STE 404",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928864060",
"telephone_number": "714-646-8010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUERO",
"first_name": "PETER",
"name_suffix": "IV",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-30",
"last_updated": "2015-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "86268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PETER",
"last_name": "AGUERO",
"middle_name": "DAVID",
"prefix": "MR.",
"suffix": "IV",
"credential": "MFT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Yorba Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.