Elaine G Agustin, NP
Nurse Practitioner in San Bernardino, California
1992837843- Practice location
- 401 E Highland Ave, Suite 551, San Bernardino, CA 92404-3803
- Phone
- 909-882-9150
- Fax
- 909-883-8972
- Last updated
- January 21, 2021
Elaine Grace Agustin is a Nurse Practitioner based in San Bernardino, CA. Elaine Grace Agustin practices in San Bernardino, CA and has the professional credentials of NP. The NPI Number for Elaine Grace Agustin is 1992837843 and holds a License No. NP 13423 (CA). The current practice location address for Elaine Grace Agustin is 401 E Highland Ave, Suite 551, San Bernardino, CA 92404-3803 and can be reached out via phone at 909-882-9150 and via fax at 909-883-8972.
Provider Profile Details
- NPI Number
- 1992837843
- Provider Name
- Elaine Grace Agustin
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 401 E Highland Ave, Suite 551, San Bernardino, CA 92404-3803
- Phone Number
- 909-882-9150
- Fax Number
- 909-883-8972
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 9, 2007
- Last Update Date
- January 21, 2021
- Certification Date
- January 21, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 401 E Highland Ave
Suite 551
San Bernardino, CA 92404-3803 - City
- San Bernardino
- State
- California
- Zip
- 92404-3803
- Phone Number
- 909-882-9150
- Fax Number
- 909-883-8972
Provider Business Mailing Address Details
- Address
- 4485 Cleveland Ave
Apt 5
San Diego, CA 92116-3985 - City
- San Diego
- State
- CA
- Zip
- 92116-3985
- Phone Number
- 626-484-7719
License Information
- License Number
- NP 13423
- License State
- CA
- Taxonomy
- Nurse Practitioner · 363L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioners near San Bernardino, CA
View all Nurse Practitioners in San Bernardino →Frequently Asked Questions
What is the NPI number of Elaine G Agustin, NP?
The NPI number of Elaine G Agustin, NP is 1992837843. It was assigned on March 9, 2007 and is currently active in the NPPES registry.
What is the specialty of Elaine G Agustin, NP?
Elaine G Agustin, NP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in CA under license number NP 13423.
Where does Elaine G Agustin, NP practice?
The practice location is 401 E Highland Ave, Suite 551, San Bernardino, CA 92404-3803. The office can be reached at 909-882-9150 (phone) or 909-883-8972 (fax).
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 1992837843 directly on the NPPES registry website.