Active NPI
Jeulian Acero Tolentino, PT, DPT
- Physical Therapist
- Ontario, CA
National Provider Identifier
1568097103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1101 S Milliken Ave Ste C
Ontario, CA 91761-8112 - Phone
- (909) 390-2799
- NPI assigned
- Mar 4, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1101 S Milliken Ave Ste C
Ontario, CA 91761-8112
Mailing address
6767 N Figueroa St Apt 1
Los Angeles, CA 90042-2036
Phone (323) 286-9565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390200000X | Other | AZ | SOUTHERN ARIZONA VA HEALTHCARE SYSTEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597708800000",
"number": "1568097103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6767 N FIGUEROA ST APT 1",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900422036",
"telephone_number": "323-286-9565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 S MILLIKEN AVE STE C",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917618112",
"telephone_number": "909-390-2799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLENTINO",
"first_name": "JEULIAN",
"middle_name": "ACERO",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-04",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN ARIZONA VA HEALTHCARE SYSTEM",
"identifier": "390200000X",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.