Ivan Brando Teves Aguilera, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E5245 Issued in CA

Practice address

1485 University Ave Ste B
Riverside, CA 92507-4497

Phone

(951) 405-8500

Fax

(951) 405-8555

NPI assigned

Jul 28, 2013

Last updated

May 12, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Providence Podiatry Care IncGroup PAC ID 6507256708, 5 clinicians

Qarmon PCGroup PAC ID 1052690260, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Providence Podiatry Care, Inc

  • Foot & Ankle Surgery Podiatrist
  • San Bernardino, CA
  • NPI 1376202986
  Medicare reassignment Care Compare group NPD
• Qarmon PC

  dba California Foot and Ankle Clinic

  • Foot & Ankle Surgery Podiatrist
  • Riverside, CA
  • NPI 1376935163
  Medicare reassignment Care Compare group
• Carrasco Podiatry Corporation

  • Podiatrist
  • Rancho Cucamonga, CA
  • NPI 1043339260

  Foot & Ankle Surgery

  Medicare reassignment NPD
• Wound Guard Inc

  • Wound Care Registered Nurse
  • Temecula, CA
  • NPI 1417767419
  Medicare reassignment NPD
• Jittima Jirasetpatana

  • Podiatrist
  • Glendale, CA
  • NPI 1992903710

  Foot & Ankle Surgery

  NPD (past)
• Joseph Addiego

  • Podiatrist
  • Glendale, CA
  • NPI 1164608394
  NPD (past)
• Providence Podiatry Care, Inc.

  dba Providence Podiaty Care, Inc

  • Foot & Ankle Surgery Podiatrist
  • Rancho Cucamonga, CA
  • NPI 1033881735
  NPD (past)
• Riverside Healthcare System, L.P.

  dba Riverside Community Hospital

  • Rehabilitation Hospital Unit
  • Riverside, CA
  • NPI 1053358010
  NPD (past)
• Woundguard

  • Wound Care Registered Nurse
  • Plantation, FL
  • NPI 1871328310
  NPD (past)

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

{
    "created_epoch": "1374969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1861834178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 UNIVERSITY AVE STE B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925074497",
            "telephone_number": "951-405-8500",
            "fax_number": "951-405-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 UNIVERSITY AVE STE B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925074497",
            "telephone_number": "951-405-8500",
            "fax_number": "951-405-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILERA",
        "first_name": "IVAN BRANDO",
        "middle_name": "TEVES",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-28",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Monserrat Aguilar
• Valerie Aguilar
• Ana Karla Aguilera, MD
• Carlos Aguilera
• Carly Amelia Aguilera
• Jose Aguilera
• Jose Aguilera
• Kimberly Aguilera
• Samuel Ramon Aguilera, DC
• Teresa Jacquelina Aguilera

• Foot & Ankle Surgery Podiatrist in Riverside, CA
• Providers in Riverside, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.