Provider Demographics
NPI:1699739219
Name:AGUIRRE, RICARDO E (MD)
Entity type:Individual
Prefix:
First Name:RICARDO
Middle Name:E
Last Name:AGUIRRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 EL CAPITAN DR
Mailing Address - Street 2:STE 120
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-6258
Mailing Address - Country:US
Mailing Address - Phone:925-676-2600
Mailing Address - Fax:925-689-3102
Practice Address - Street 1:1320 EL CAPITAN DR
Practice Address - Street 2:STE 120
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-6258
Practice Address - Country:US
Practice Address - Phone:925-676-2600
Practice Address - Fax:925-689-3102
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA299230208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A299230Medicaid
CA00A299230Medicaid