NPI 1124280391 · live from the CMS NPI Registry
Nicole R Agostinelli, M.D.
General Practice in San Diego, CA. National Provider Identifier 1124280391, active.
NPI record
| NPI | 1124280391 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | General Practice 208D00000X |
| Practice location | 200 W Arbor Dr, San Diego, CA 92103 |
| Practice phone | 619-543-6222 |
| Mailing address | Po Box 232410, San Diego, CA 92193 |
| Enumerated | June 30, 2008 |
| Last updated | January 8, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice primary | 208D00000X | MD443518 (PA) |
| Emergency Medicine | 207P00000X | 260276 (NY) |
| Emergency Medicine | 207P00000X | C156148 (CA) |
| Emergency Medicine | 207P00000X | 443518 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.