Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Aguilar, MD

Individual provider Internal Medicine Physician · NPI 1417440199

Jack Aguilar, MD is a Cardiovascular Disease (Cardiology) in Torrance, California. Graduated from Geisel School of Medicine at Dartmouth in 2018, 8 years ago. Practices with Providence Medical Institute, a 336-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
8
Trained at
Geisel School of Medicine at Dartmouth
Licensed in
CA
In the registry since
2018
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1124 W Carson St
Torrance, CA 90502-2006
Phone: (424) 306-8849
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8700 Beverly Blvd Ste 5512, West Hollywood, CA 90048-1804 — (310) 423-5161

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence A166084 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A166084 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417440199
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 7, 2018
Last updated in NPPESMay 12, 2024
Certification dateMay 12, 2024
Mailing address8700 Beverly Blvd Ste 5512, West Hollywood, CA 90048-1804

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolGEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Graduated 2018 (8 years in practice)
Group practice Providence Medical Institute — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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