Individual provider Active NPI

Peter Aguero IV

  • Marriage & Family Therapist
  • Yorba Linda, CA
National Provider Identifier
1801276357
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
86268 Issued in CA
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

Updated by the provider on Jun 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240111004605 CA Practitioner - Marriage and Family Therapist 4981055159 Reassigns benefits to 1 organization

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
Chiron Psychological IncGroup PAC ID 9234496308, 15 clinicians

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

LicenseStateTypeSpecialty
86268CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.