Individual provider Active NPI

Ethelynda A Tolentino, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Sacramento, CA
National Provider Identifier
1093798092
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
A83749 Issued in CA
Practice address
4420 Duckhorn Dr Ste 200
Sacramento, CA 95834-2590
Phone
(916) 419-9990
Fax
(916) 419-9699
NPI assigned
Nov 22, 2005
Last updated
Mar 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X A83749 CA Primary

Addresses

Primary practice location

4420 Duckhorn Dr Ste 200
Sacramento, CA 95834-2590

Mailing address

1528 Eureka Rd Ste 103
Roseville, CA 95661-3047
Phone (916) 772-5325

Other names 1

  • Dr. Ethelynda A Jaojoco Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050504001209 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 2668412040 Reassigns benefits to 1 organization
Practice locations: Sacramento, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4420 Duckhorn Dr
Suite 200
Sacramento, CA 95834-2590
Phone (916) 419-9900

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
84.27
Promoting interoperability
100
Improvement activities
40
Cost
71.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
83749CAMDClinical Social Worker
A83749CAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spine & Nerve Diagnostic Center Current Accepting new patients
Spine & Nerve Diagnostic Center CurrentSince Jan 1, 2015 Accepting new patients
Spine & Nerve Diagnostic Center CurrentSince Jan 1, 2015 Accepting new patients
Sutter Regional Medical Foundation Past Accepting new patients
1125 Sir Francis Drake Boulevard Operating Company, LLC Past Accepting new patients
Sacramento Rehabilitation Hospital LLC PastSince Jul 31, 2022 Accepting new patients
Spine & Nerve Diagnostic Center PastSince Jan 14, 2024 Accepting new patients

Locations

2234 Longport Ct
Ste 100
Elk Grove, CA 95758
Phone (916) 478-0112

2380 E Bidwell St
Folsom, CA 95630
Phone (916) 306-1112

1528 Eureka Rd
Ste 103
Roseville, CA 95661
Phone (916) 772-5325

4420 Duckhorn Dr
Ste 200
Sacramento, CA 95834
Phone (916) 419-9900

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427414400000",
    "number": "1093798092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 EUREKA RD STE 103",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613047",
            "telephone_number": "916-772-5325",
            "fax_number": "916-772-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 DUCKHORN DR STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958342590",
            "telephone_number": "916-419-9990",
            "fax_number": "916-419-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLENTINO",
        "first_name": "ETHELYNDA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2015-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A83749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ETHELYNDA",
            "last_name": "JAOJOCO",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.