Carlos Eduardo Juarez Aguilar, OCCUPATIONAL THERAPI

Primary specialty

Mental Health Occupational TherapistTaxonomy code 225XM0800X

License

20728 Issued in CA

Practice address

4601 S Broadway
Los Angeles, CA 90037-2729

Phone

(323) 803-3881

NPI assigned

Sep 13, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1992224646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 S BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900372729",
            "telephone_number": "323-803-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 S BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900372729",
            "telephone_number": "323-803-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ AGUILAR",
        "first_name": "CARLOS",
        "middle_name": "EDUARDO",
        "name_prefix": "Mr.",
        "credential": "OCCUPATIONAL THERAPI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-13",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "CA",
            "license": "20728",
            "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": []
}

• Juan Carlos Ricaurte MD Inc PC
• Angelica Juan Martinez, ACSW
• Deisy Juan
• Julius Juan, CPHT
• June Elaine Tiamzon Juanico, PA-C
• Belgica Raquel Juarez Dardon, DDS
• Daisy Juarez de la Torre
• Karina Noemi Juarez Estrada, RDN
• Jose Juarez Galan
• Jacqueline Marie Juarez Hernandez, MD

• Mental Health Occupational Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Mental Health Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.

Verify at the official NPI Registry.