Jessica Stephanie Agustin

Individual provider Active NPI Rehabilitation Practitioner · Escondido, CA

NPI 1033748546 · NPPES record last updated Apr 2, 2025

Key facts

NPI
1033748546
Entity type
Individual (NPI type 1)
Primary specialty
Rehabilitation Practitioner 225400000X
Practice address
337 W Mission Ave
Escondido, CA 92025-1729
Phone
(760) 745-0281
Fax
(760) 745-0778
NPI assigned
Apr 6, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Community Research Foundation Inc Past
since Apr 17, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X Yes

Addresses

Primary practice location

337 W Mission Ave
Escondido, CA 92025-1729

Mailing address

337 W Mission Ave
Escondido, CA 92025-1729
Phone (760) 745-0281

Other providers in Escondido, CA

All providers in Escondido, CA · Rehabilitation Practitioner in California

Sources for this page

Verify at the official NPI Registry.