Agnes B Kintanar, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A38376 Issued in CA

Practice address

1292 W Mill St
Suite 105
San Bernardino, CA 92410-2500

Phone

(909) 383-9440

Fax

(909) 383-9443

NPI assigned

Jul 19, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Totalcare Walk in Clinic IncGroup PAC ID 2769566363, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: agnes.kintanar.1@3488.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/3488/brand/1/csg/1/fhir/r4

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.

• Totalcare Walk in Clinic Inc

  • Internal Medicine Physician
  • Chino, CA
  • NPI 1760689715
  Medicare reassignment Care Compare group NPD
• Dignity Health

  dba Mercy Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1104981661
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1073713962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1292 W MILL ST",
            "address_2": "SUITE 105",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924102500",
            "telephone_number": "909-383-9440",
            "fax_number": "909-383-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1292 W MILL ST",
            "address_2": "SUITE 105",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924102500",
            "telephone_number": "909-383-9440",
            "fax_number": "909-383-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINTANAR",
        "first_name": "AGNES",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A38376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A383761",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A383760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clementine King, PA
• Kai Joseph King
• Maria Angela King, CNM, RN
• Skyler Ryan King, PA
• Stacey King
• Joshua Obadiah Kirby
• Kennith Dra Kirk
• Summer Victoria Kirkpatrick
• Celesti Kiroyan, PHARMD
• Daniel Kishner, HAD

• General Practice Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.