NPIMap

Individual provider Active NPI

Gemelia Holgado Aguilera, MD

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1972616100
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A46585 Issued in CA
Practice address
3761 Beverly Blvd
Los Angeles, CA 90004
Phone
(323) 663-2100
Fax
(323) 663-2065
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A46585 CA Primary

Addresses

Primary practice location

3761 Beverly Blvd
Los Angeles, CA 90004

Mailing address

3761 Beverly Blvd
Los Angeles, CA 90004
Phone (323) 663-2100

Other identifiers 1

IdentifierTypeStateIssuer
00A465851MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101109001010 CA Practitioner - Internal Medicine 7719045111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

22048 Sherman Way
Suite 313
Canoga Park, CA 91303-3014
Phone (213) 465-2643

Hospital & facility affiliations

  • La Comfort Home Care, Inc Home health agency, Pasadena, CA, CCN 559276
  • Quest Home Health, Inc Home health agency, Burbank, CA, CCN 059095
  • Love Home Health Agency, Inc Home health agency, Canoga Park, CA, CCN 559702
  • Absolute Home Health Agency, Inc Home health agency, Los Angeles, CA, CCN 058363
  • Beverly Healing Home Care, Inc Home health agency, Encino, CA, CCN 559011
  • Care Angels Hospice, Inc Hospice, Van Nuys, CA, CCN B21566
  • Journey Palliative and Hospice, Inc. Hospice, Burbank, CA, CCN B41664
  • Real Mind Hospice & Palliative Care, Inc Hospice, Sherman Oaks, CA, CCN B31769

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A46585CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Active Mobile Medical Group, Inc. CurrentSince Mar 6, 2022 Accepting new patients
Gemelia Holgado Aguilera, M.D. Inc. Internal Medicine CurrentSince Aug 15, 1995 Accepting new patients
Doctors on the Go Professional Group Corp CurrentSince Oct 8, 2020 Accepting new patients

Locations

3325 Wilshire Blvd
Ste 208
Los Angeles, CA 90010
Phone (213) 221-1272

3761 Beverly Blvd
Los Angeles, CA 90004
Phone (323) 663-2100

3761 Beverly Blvd
Ste 101
Los Angeles, CA 90004

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Holy Angel Home Health Care ,Inc.Los Angeles, CA, CCN 058259 Home health agency Corporate Director Oct 1, 2008

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1972616100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3761 BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90004",
            "telephone_number": "323-663-2100",
            "fax_number": "323-663-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3761 BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90004",
            "telephone_number": "323-663-2100",
            "fax_number": "323-663-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLGADO AGUILERA",
        "first_name": "GEMELIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A46585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A465851",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.