Individual provider Active NPI

Lydia Chua Aguilera, M.D.

  • Obstetrics & Gynecology Physician
  • Montebello, CA
National Provider Identifier
1891853115
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A040871 Issued in CA
Practice address
520 W Beverly Blvd
Montebello, CA 90640-3622
Phone
(323) 721-0690
Fax
(323) 721-4342
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A040871 CA Primary

Addresses

Primary practice location

520 W Beverly Blvd
Montebello, CA 90640-3622

Mailing address

520 W Beverly Blvd
Montebello, CA 90640-3622
Phone (323) 721-0690

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110425000770 CA Practitioner - Obstetrics/Gynecology 9931384518 Reassigns benefits to 1 organization
Practice locations: Montebello, CA

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Central Family Health Center 22 clinicians

Practice addresses (Care Compare)

2417 W Whittier Blvd
Montebello, CA 90640-3040
Phone (323) 908-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A040871CAMDObstetrics & Gynecology Physician

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
South Central Family Health Center CurrentSince Jun 15, 2024 Accepting new patients
South Central Family Health Center Current Accepting new patients
South Central Family Health Center CurrentSince Jun 15, 2024 Accepting new patients

Locations

7910 Atlantic Ave
Ste M
Cudahy, CA 90201
Phone (323) 908-4247

4425 S Central Ave
Los Angeles, CA 90011

3410 Hooper Ave
Los Angeles, CA 90011

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: aguilera.lydia.p1@direct.scfhc.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891853115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403622",
            "telephone_number": "323-721-0690",
            "fax_number": "323-721-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403622",
            "telephone_number": "323-721-0690",
            "fax_number": "323-721-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILERA",
        "first_name": "LYDIA",
        "middle_name": "CHUA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A040871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

Verify at the official NPI Registry.