Individual provider Active NPI

Elvira Duncil Agustino, R.N. M.S.N.

  • Case Manager/Care Coordinator
  • Chula Vista, CA
National Provider Identifier
1992921142
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
RN453866 Issued in CA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RN453866CAMDCase 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.

Verify at the official NPI Registry.