Individual provider Active NPI

Laura Aguilar-Fernandez, DDS, MS

  • Dentist
  • Winters, CA
National Provider Identifier
1952864654
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
105364 Issued in CA
Practice address
172 E Grant Ave
Winters, CA 95694-1780
Phone
(530) 795-4377
NPI assigned
Apr 9, 2019
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 105364 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

172 E Grant Ave
Winters, CA 95694-1780

Mailing address

PO Box 5096
Napa, CA 94581-0096
Phone (707) 337-9389

Other practice location 1

339 E Leland Rd
Pittsburg, CA 94565-4911
Phone (925) 431-1250

Other practice location 2

3466 Mt Diablo Blvd Ste C207
Lafayette, CA 94549-7108
Phone (925) 298-5386

Other names 1

  • Laura Aguilar Former name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260213001892 CA Order and Referring Only - PeriodonticsPractitioner - Periodontics 0345668448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
105394CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
La Clinica de la Raza Inc Past Accepting new patients
La Clinica de la Raza Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: laguilarfernandez741239@direct.ochin.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1952864654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5096",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945810096",
            "telephone_number": "707-337-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 E GRANT AVE",
            "city": "WINTERS",
            "state": "CA",
            "postal_code": "956941780",
            "telephone_number": "530-795-4377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "339 E Leland Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburg",
            "state": "CA",
            "postal_code": "945654911",
            "country_code": "US",
            "telephone_number": "925-431-1250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3466 Mt Diablo Blvd Ste C207",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CA",
            "postal_code": "945497108",
            "country_code": "US",
            "telephone_number": "925-298-5386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGUILAR-FERNANDEZ",
        "first_name": "LAURA",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "105364",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "AGUILAR",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winters, CA

Sources for this page

Verify at the official NPI Registry.