Organization Active NPI

Jose E Aguilar M D a Medical Corporation

  • Family Medicine Physician
  • Santa Ana, CA
National Provider Identifier
1891174652
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JOSE E AGUILAR M D A MEDICAL CORPORATION
Practice address
1415 N Broadway
Santa Ana, CA 92706-3904
Phone
(714) 541-0175
Fax
(714) 835-1722
NPI assigned
May 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Authorized official

Name
Mario Perez
Title
Vice President
Phone
(714) 541-0175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1415 N Broadway
Santa Ana, CA 92706-3904

Mailing address

1415 N Broadway
Santa Ana, CA 92706-3904
Phone (714) 541-0175

National Provider Directory

National Provider Directory

Locations

1415 N Broadway
Santa Ana, CA 92706
Phone (714) 541-0175

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1891174652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 N BROADWAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063904",
            "telephone_number": "714-541-0175",
            "fax_number": "714-835-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 N BROADWAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063904",
            "telephone_number": "714-541-0175",
            "fax_number": "714-835-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE E AGUILAR M D A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "714-541-0175"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.