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AGNES B KINTANAR M.D.
NPI 1073713962
General Practice in San Bernardino, CA

Active since July 19, 2007PECOS EnrolledAccepts Medicare Assignment
1292 W MILL ST, SUITE 105, SAN BERNARDINO, CA 92410(909) 383-9440(909) 383-9443 Get Directions Write a Review

NPPES record last updated: November 17, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 17, 2016, Sep 23, 2016 (2 updates tracked since 2016).

About Agnes B Kintanar M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AGNES B KINTANAR M.D. (NPI 1073713962) is an individual general practice provider in San Bernardino, California, licensed in California (A38376) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1975).

NPPES Registry Identity

NPI1073713962
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameAGNES B KINTANARCredential: M.D.
Location Address1292 W MILL ST, SUITE 105San Bernardino, CA 92410-2500
Mailing Address1292 W Mill St, Suite 105San Bernardino, CA 92410-2500 · (909) 383-9440 · Fax (909) 383-9443
Phone(909) 383-9440
Fax(909) 383-9443
Sole ProprietorNo
Medical School CMSOtherGraduated 1975
Enumeration DateJuly 19, 2007
Last NPPES UpdateNovember 17, 20162 updates tracked since enumeration
✔ NPI 1073713962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A38376
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1292 W MILL ST, San Bernardino, CA 92410
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Other Identifiers 4

Medicare PINCA124122CA
Medicare UPINA28602CA
Medicaid00A383760CA
Medicaid00A383761CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Agnes B Kintanar M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284641572
PECOS Enrollment IDI20060313000148
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MILL MEDICAL CLINIC INC
Clinic/Center (Primary Care)
1292 W MILL ST, SUITE 105
SAN BERNARDINO, CA 92410
San Bernardino County (909) 383-9440
HAZEL CAPUTOL LEDESMA
Nurse Practitioner (Family)
1292 W MILL ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 253-0841
ANDREW CALEB TOWNLEY FNP-C
Nurse Practitioner (Family)
1292 W MILL ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 253-0841

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Agnes Kintanar's NPI number?

The NPI number for Agnes Kintanar is 1073713962. It was assigned to this individual provider in the NPPES registry on July 19, 2007.

Where is Agnes Kintanar located?

Agnes Kintanar practices at 1292 W Mill St Suite 105, San Bernardino, CA 92410. The listed phone number is (909) 383-9440.

What is Agnes Kintanar's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Agnes Kintanar enrolled in Medicare?

Yes. Agnes Kintanar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Agnes Kintanar was last updated on November 17, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.