Active NPI
Lydia Chua Aguilera, M.D.
- Obstetrics & Gynecology Physician
- Montebello, CA
National Provider Identifier
1891853115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A040871
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A040871 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Family Health Center | Current | Accepting new patients | |
| South Central Family Health Center | Current | Accepting new patients | |
| South Central Family Health Center | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Huntington Park, CA
- NPI 1669799896
CA
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1396891909
-
- Federally Qualified Health Center (FQHC)
- Montebello, CA
- NPI 1851982797
-
- Federally Qualified Health Center (FQHC)
- Huntington Park, CA
- NPI 1487218970
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1588908305
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1649792615
-
- Federally Qualified Health Center (FQHC)
- Cudahy, CA
- NPI 1982063939
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- 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.