JUSTIN TOLENTINO PMHNP
NPI 1144815754
Nurse Practitioner - Psychiatric/Mental Health in Upland, CA

Active since March 05, 2021PECOS Enrolled
1113 ALTA AVE STE 106, UPLAND, CA 91786(909) 638-2475 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2025, Mar 5, 2021 (2 updates tracked since 2021).

About Justin Tolentino Pmhnp NPPES

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

JUSTIN TOLENTINO PMHNP (NPI 1144815754) is an individual psychiatric/mental health provider in Upland, California, licensed in California (95035349) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Montclair, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1144815754
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJUSTIN TOLENTINOCredential: PMHNP
Location Address1113 ALTA AVE STE 106Upland, CA 91786-2803
Mailing Address1113 Alta Ave Ste 106Upland, CA 91786-2803 · (909) 851-4029
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 5, 2021
Last NPPES UpdateOctober 27, 20252 updates tracked since enumeration
NPPES CertifiedOctober 27, 2025
NPI 1144815754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CA · 95035349
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 95116951 (CA)
1113 ALTA AVE STE 106, Upland, CA 91786

Secondary Practice Location 1

Location 15330 San Bernardino StMontclair, CA 91763-2952 · Phone (866) 205-3595

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Justin Tolentino Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800375874
PECOS Enrollment IDI20260210001362
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91786 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Psychiatry & Neurology (Psychiatry)
1113 ALTA AVE STE 106
UPLAND, CA 91786
Family Medicine
1113 ALTA AVE STE 106
UPLAND, CA 91786

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 Justin Tolentino's NPI number?

The NPI number for Justin Tolentino is 1144815754. It was assigned to this individual provider in the NPPES registry on March 5, 2021.

Where is Justin Tolentino located?

Justin Tolentino practices at 1113 Alta Ave Ste 106, Upland, CA 91786. The listed phone number is (909) 638-2475.

What is Justin Tolentino's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Justin Tolentino enrolled in Medicare?

Yes. Justin Tolentino is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justin Tolentino was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.