Active NPI
Elvira Duncil Agustino, R.N. M.S.N.
- Case Manager/Care Coordinator
- Chula Vista, CA
National Provider Identifier
1992921142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- RN453866
- Practice address
- 690 Oxford St
Chula Vista, CA 91911-7111 - Phone
- (619) 409-3134
- Fax
- (619) 409-3388
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | RN453866 | CA | Primary |
Addresses
Primary practice location
690 Oxford St
Chula Vista, CA 91911-7111
Mailing address
1255 Zurich Dr
San Diego, CA 92154-2954
Phone (619) 424-7329
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)
- Not enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN453866 | CA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992921142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 ZURICH DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921542954",
"telephone_number": "619-424-7329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 OXFORD ST",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919117111",
"telephone_number": "619-409-3134",
"fax_number": "619-409-3388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUSTINO",
"first_name": "ELVIRA",
"middle_name": "DUNCIL",
"name_prefix": "Mrs.",
"credential": "R.N. M.S.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": "RN453866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.