Marisol Siena Agustinez

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

25 N 14TH St Ste 140
San Jose, CA 95112-6218

Phone

(408) 445-3400

Fax

(408) 275-1793

NPI assigned

Sep 18, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Indian Health Center of Santa Clara Valley

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
  • NPI 1538529052
  NPD (past)

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1871843797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N 14TH ST STE 140",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126218",
            "telephone_number": "408-445-3400",
            "fax_number": "408-275-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N 14TH ST STE 140",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126218",
            "telephone_number": "408-445-3400",
            "fax_number": "408-275-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUSTINEZ",
        "first_name": "MARISOL",
        "middle_name": "SIENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Agundez
• Nnaemeka Izuchukwu Agunwa
• Alison Agustin
• Kyla Agustin
• Merlissa Ann A Agustin
• Aha Auxilio-Homeaide LLC
• Fayyaz Ahamed, MD
• Aheaducation Learning ABA and Consulting LLC
• Ahealthcenter Medical Group
• Anne Margaret Ahlman, MPT

• Case Manager/Care Coordinator in San Jose, CA
• Providers in San Jose, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.