Organization Active NPI

Estrella a. Aguinaldo, M.D., Inc.

  • Internal Medicine Physician
  • Carson, CA
National Provider Identifier
1831499631
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A056493 Issued in CA
Legal business name
ESTRELLA A. AGUINALDO, M.D., INC.
Practice address
23517 Main St Ste 104
Carson, CA 90745-5235
Phone
(310) 233-2555
Fax
(310) 233-2555
NPI assigned
Oct 26, 2010
Last updated
Dec 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Authorized official

Name
Estrella Azurin Aguinaldo, MDNPI 1548339278
Title
President
Phone
(310) 233-2555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A056493 CA Primary

Addresses

Primary practice location

23517 Main St Ste 104
Carson, CA 90745-5235

Mailing address

23517 Main St Ste 104
Carson, CA 90745-5235
Phone (310) 233-2555

Other identifiers 1

IdentifierTypeStateIssuer
00A564930MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200201000105 CA Part B Supplier - Clinic/Group Practice 2567898000 Receives reassigned benefits from 1 practitioner
Practice locations: Carson, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1831499631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23517 MAIN ST STE 104",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907455235",
            "telephone_number": "310-233-2555",
            "fax_number": "310-233-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23517 MAIN ST STE 104",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907455235",
            "telephone_number": "310-233-2555",
            "fax_number": "310-233-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTRELLA A. AGUINALDO, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "AGUINALDO",
        "authorized_official_first_name": "ESTRELLA",
        "authorized_official_middle_name": "AZURIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-233-2555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A056493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A564930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.