Individual provider · NPI-1

Vladimir Aguilar, ACNPC-AG

Nurse Practitioner, Critical Care Medicine · Fontana, CA

NPI number1093475543
StatusActive
Last updated in NPPESJun 18, 2026

Details

NPI
1093475543
Entity type
Individual (NPI-1)
Name
Vladimir Aguilar
Credential
ACNPC-AG
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 25, 2021
Certification date
Jun 18, 2026
Last updated
Jun 18, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LC0200X Nurse Practitioner, Critical Care Medicine95018916CAYes
163W00000X Registered Nurse95077925CA
163WC0200X Registered Nurse, Critical Care Medicine723430NY
163WC0200X Registered Nurse, Critical Care Medicine1644461CO

Practice location

9961 Sierra Ave
Fontana, CA 92335-6720

Phone 951-452-3202

Mailing address

8442 Via Norte Dr
Riverside, CA 92503-7825

Phone 951-452-3202

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