CMS-1500 Box 24J / 33a • NPI
1093076416
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363A00000X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
Box 32 Service Location & ZIP+4
531 S ORCHARD AVE STE A, UKIAH, CA, 95482-5022
✓ 9-Digit EDI 837 ZIP+4 (95482-5022)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1093076416 (LARRY AGUIRRE, PA-C, DMSc, CAQ-PSY) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1093076416)
Medicare Beneficiaries
60
Total Billed Services
116
Distinct CPT/HCPCS Codes
5
Medicare Allowed Total
$11,870.15
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 36 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 54 |
99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 17 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Abilify Asimtufii Aripiprazole | 11 | <11 |
| Abilify Maintena Aripiprazole | 29 | <11 |
| Alprazolam Alprazolam | 22 | <11 |
| Amitriptyline Hcl Amitriptyline Hcl | 11 | <11 |
| Aripiprazole Aripiprazole | 80 | 12 |
| Asenapine Maleate Asenapine Maleate | 17 | <11 |
| Benztropine Mesylate Benztropine Mesylate | 106 | 20 |
| Bupropion Xl Bupropion Hcl | 84 | 11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1093076416 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | LARRY AGUIRRE, PA-C, DMSc, CAQ-PSY |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant NUCC Code: 363A00000X (Physician Assistant) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 531 S ORCHARD AVE STE A, UKIAH, CA, 95482-5022 |
| Practice Telephone / Fax | Tel: (707) 472-0350 | Fax: (707) 472-0358 |
| Administrative Mailing Address | PO BOX 1449, UKIAH, CA, 95482-1449 |
| Enumeration & Last Sync | Enumerated: 2012-06-01 | CMS Record Updated: 2025-09-02 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363A00000X)
What Does Taxonomy Code 363A00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (LARRY AGUIRRE, PA-C, DMSc, CAQ-PSY)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363AM0700X — Physician Assistant, MedicalPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical | State: CA | License: pa21850 | Primary: Secondary |
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: CA | License: PA21850 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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