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DR. JENNIFER AGUAYO MD
NPI 1417104076
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since August 25, 2008PECOS Enrolled
200 W ARBOR DR, MC 8433, SAN DIEGO, CA 92103(619) 543-6922 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jennifer Aguayo Md NPPES

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

DR. JENNIFER AGUAYO MD (NPI 1417104076) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417104076
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. JENNIFER AGUAYOCredential: MD
Location Address200 W ARBOR DR, MC 8433San Diego, CA 92103-9000
Mailing Address780 Camino De La Reina, Apt 257San Diego, CA 92108-3260 · (818) 679-2156
Phone(619) 543-6922
Sole ProprietorNo
Enumeration DateAugust 25, 2008
Last NPPES UpdateNovember 30, 2021
✔ NPI 1417104076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
200 W ARBOR DR, San Diego, CA 92103
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jennifer Aguayo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jennifer Aguayo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group
1.2 mi
Health Maintenance Organization
1288 CAMINO DEL RIO N
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1023425972 (877) 608-0044
Asian Pacific Health Care Venture, Inc.
104 mi
Community Health
9960 BALDWIN PL
El Monte, CA 91731
  • Reassigned Medicare billing, California enrollment
  • 55 clinicians in this Medicare group
NPI 1609147743 (323) 644-3880

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAMIN MOTARJEMI M.D.
Internal Medicine (Geriatric Medicine)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (858) 249-2500
DR. KYLE PALMER EDMONDS M.D., FAAHPM
Hospice, Inpatient
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
SHAWN RAVEENTH VEDAMANI MD
Anesthesiology
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
DALE MICHAEL TRUJILLO NP
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
DR. EUGENE THOMAS RICHARDSON IV MD
Internal Medicine (Infectious Disease)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
KAYLEE PETERSEN ARNP
Nurse Practitioner (Psychiatric/Mental Health)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
IRENE NEVAREZ NP
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
WILLIAM JAMES MOSS M.D.
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (508) 395-4189

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Aguayo's NPI number?

The NPI number for Jennifer Aguayo is 1417104076. It was assigned to this individual provider in the NPPES registry on August 25, 2008.

Where is Jennifer Aguayo located?

Jennifer Aguayo practices at 200 W Arbor Dr Mc 8433, San Diego, CA 92103. The listed phone number is (619) 543-6922.

What is Jennifer Aguayo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jennifer Aguayo enrolled in Medicare?

Yes. Jennifer Aguayo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jennifer Aguayo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Aguayo reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (San Diego, CA) and Asian Pacific Health Care Venture, Inc. (El Monte, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Aguayo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Aguayo was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.