Individual provider · NPI-1
Kimberly Aguayo
Community Health Worker · Monterey Park, CA
NPI number1992421309
StatusActive
Last updated in NPPESOct 26, 2026
Details
- NPI
- 1992421309
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Aguayo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2022
- Certification date
- Oct 26, 2026
- Last updated
- Oct 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
| 106S00000X | Behavior Technician | – | – | |
| 101Y00000X | Counselor | – | – |
Practice location
1000 Corporate Center Dr Ste 650Monterey Park, CA 91754-7639
Phone 626-966-1776
Mailing address
1000 Corporate Center DrMonterey Park, CA 91754-7600
Phone 626-966-1776
Other practice locations
9570 Center Ave Ste 100
Rancho Cucamonga, CA 91730-5842
Rancho Cucamonga, CA 91730-5842
Phone 909-980-4755
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.