Active NPI
Mario Aguero Jr., RAC
- Addiction (Substance Use Disorder) Counselor
- Fresno, CA
National Provider Identifier
1912782822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 16167
- Practice address
- 539 N Van Ness Ave
Fresno, CA 93728-3419 - Phone
- (559) 547-9819
- Fax
- (559) 498-0507
- NPI assigned
- Aug 29, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16167 | CA | MD | Primary Care Nurse Practitioner |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16167 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
539 N Van Ness Ave
Fresno, CA 93728-3419
Mailing address
539 N Van Ness Ave
Fresno, CA 93728-3419
Phone (559) 547-9819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 16, 2023.
{
"created_epoch": "1693267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1912782822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 N VAN NESS AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937283419",
"telephone_number": "559-547-9819",
"fax_number": "559-498-0507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "539 N VAN NESS AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937283419",
"telephone_number": "559-547-9819",
"fax_number": "559-498-0507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUERO",
"first_name": "MARIO",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-29",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "16167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.