Aurelio Enriquez Jr., LCSW, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-29785 Issued in CA

Practice address

9330 Baseline Rd Ste 108
Rancho Cucamonga, CA 91701-5827

Phone

(909) 980-1000

Fax

(866) 880-1254

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Professional Assessment and Treatment Services

  • Community/Behavioral Health Agency
  • Rancho Cucamonga, CA
  • NPI 1861716854
  NPD (past) Authorized official
• Kaweah Delta Health Care Inc

  • General Practice Physician
  • Visalia, CA
  • NPI 1619353042

  Single Specialty

  NPD
• Visalia Medical Clinic, Inc.

  • Family Medicine Physician
  • Visalia, CA
  • NPI 1780631432

  Single Specialty

  NPD

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1891810438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 BASELINE RD STE 108",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917015827",
            "telephone_number": "909-980-1000",
            "fax_number": "866-880-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 BASELINE RD STE 108",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917015827",
            "telephone_number": "909-980-1000",
            "fax_number": "866-880-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "AURELIO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "LCSW, PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 24862",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY-29785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Endeavor Medical PC
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• Jossalyn Engberson, B.S. HCA RASI
• Sowmya Engles, PMHNP
• Amy Enos
• Cinthia Enriquez
• Lydia Enriquez, LCSW
• Mahnaz Entezaralmahdi, M.D.
• Envap Buenviaje-Smith PC
• Envisage Palliative Care

• Clinical Psychologist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.