Active NPIIndividual provider

Dr. Nicole R Agostinelli, MD

General Practice in San Diego, California

NPI Number1124280391
Practice location
200 W Arbor Dr, San Diego, CA 92103
Fax
—
Last updated
January 8, 2026

Dr. Nicole R Agostinelli, MD is a General Practice based in San Diego, CA. Dr. Nicole R Agostinelli, MD holds the professional credentials of MD. The NPI number for Dr. Nicole R Agostinelli, MD is 1124280391 and holds license No. MD443518 (PA). The current practice location address is 200 W Arbor Dr, San Diego, CA 92103 and the office can be reached by phone at 619-543-6222. The NPI was assigned on June 30, 2008 and the record was last updated in NPPES on January 8, 2026.

●Provider Profile Details

NPI Number
1124280391
Provider Name
Nicole R Agostinelli
Credential
MD
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
No
Enumeration Date
June 30, 2008
Last Update Date
January 8, 2026
Certification Date
January 8, 2026
NPI Status
Active

◉Business Practice Location Address

Address
200 W Arbor Dr
San Diego, CA 92103
ZIP
92103
Country
US
Phone Number
619-543-6222

Get directions →

✉Business Mailing Address

Address
Po Box 232410
San Diego, CA 92193-2410
City
San Diego
State
CA
ZIP
92193-2410

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
General Practice208D00000XYesMD443518PA
Emergency Medicine207P00000XNo260276NY
Emergency Medicine207P00000XNoC156148CA
Emergency Medicine207P00000XNo443518PA

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Dr. Nicole R Agostinelli, MD?

The NPI number of Dr. Nicole R Agostinelli, MD is 1124280391. It was assigned on June 30, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Nicole R Agostinelli, MD?

Dr. Nicole R Agostinelli, MD is registered under the primary taxonomy General Practice (code 208D00000X) and holds license No. MD443518 (PA).

Where does Dr. Nicole R Agostinelli, MD practice?

The practice location is 200 W Arbor Dr, San Diego, CA 92103. The office can be reached at 619-543-6222 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124280391 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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