MAYRA ALEJANDRA AGUILUZ
NPI 1144834581
Counselor - Professional in Culver City, CA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since September 02, 2020PECOS Enrolled

9808 VENICE BLVD STE 700, CULVER CITY, CA 90232(310) 945-3350(310) 945-3356 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 25, 2024, Jun 9, 2021, Sep 2, 2020 (3 updates tracked since 2020).

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About Mayra Alejandra Aguiluz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAYRA ALEJANDRA AGUILUZ (NPI 1144834581) is an individual professional provider in Culver City, California, licensed in California (16794) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1144834581

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMAYRA ALEJANDRA AGUILUZ

Location Address9808 VENICE BLVD STE 700Culver City, CA 90232-6824

Mailing Address9808 Venice Blvd Ste 700Culver City, CA 90232-6824 · (310) 945-3350 · Fax (310) 945-3356

Phone(310) 945-3350

Fax(310) 945-3356

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 2, 2020

Last NPPES UpdateJuly 25, 20243 updates tracked since enumeration

NPPES CertifiedJuly 25, 2024

✔ NPI 1144834581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in CA · 16794✔ Licensed in CA · APCC10087

Also ListedRehabilitation PractitionerTaxonomy 225400000X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

9808 VENICE BLVD STE 700, Culver City, CA 90232

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mayra Alejandra Aguiluz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810496957

PECOS Enrollment IDI20250815004166

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.