Individual provider Active NPI

Sanjuanita Aguilar

  • Registered Dietitian
  • Payette, ID
National Provider Identifier
1881930378
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
D-368 Issued in ID
Practice address
1441 NE 10TH Ave
Payette, ID 83661-5420
Phone
(208) 642-9376
Fax
(208) 642-9279
NPI assigned
Jan 2, 2013
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 10225101 OR
Registered Dietitian 133V00000X D-368 ID Primary

Addresses

Primary practice location

1441 NE 10TH Ave
Payette, ID 83661-5420

Mailing address

1441 NE 10TH Ave
Payette, ID 83661-5420
Phone (086) 429-3762

Other identifiers 1

IdentifierTypeStateIssuer
500809275MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040708000740 ID Practitioner - Registered Dietitian Or Nutrition Professional 7618955543 Reassigns benefits to 3 organizations
I20240124004494 OR Practitioner - Registered Dietitian Or Nutrition Professional 7618955543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Family Health Care IncGroup PAC ID 0547169591, 45 clinicians

Practice addresses (Care Compare)

1441 NE 10TH Ave
Payette, ID 83661-5420
Phone (208) 642-9376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Family Health Care, Inc Current Accepting new patients
Valley Family Health Care Inc CurrentSince Aug 1, 2022 Accepting new patients
Southwest District Health CurrentSince Apr 13, 2013 Accepting new patients
Southwest District Health CurrentSince Apr 13, 2013 Accepting new patients
Adams County Health Center Inc CurrentSince Oct 1, 2023 Accepting new patients
Valley Family Health Care, Inc CurrentSince Aug 1, 2022 Accepting new patients
Valley Family Health Care, Inc Past Accepting new patients

Locations

13307 Miami Ln
Caldwell, ID 83607
Phone (208) 455-5300

207 E 12th St
Emmett, ID 83617
Phone (208) 365-1065

1441 NE 10th Ave
Payette, ID 83661
Phone (208) 642-9376

17 S 3rd St
Nyssa, OR 97913
Phone (541) 372-5738

896 Fortner St
Ontario, OR 97914
Phone (541) 709-2038

789 Washington St W
Vale, OR 97918
Phone (503) 473-2101

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20689/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1881930378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 NE 10TH AVE",
            "city": "PAYETTE",
            "state": "ID",
            "postal_code": "836615420",
            "telephone_number": "086-429-3762",
            "fax_number": "086-429-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 NE 10TH AVE",
            "city": "PAYETTE",
            "state": "ID",
            "postal_code": "836615420",
            "telephone_number": "208-642-9376",
            "fax_number": "208-642-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "SANJUANITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-02",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "10225101",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ID",
            "license": "D-368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500809275",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Payette, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.