JUSTIN TOLENTINO PMHNP
NPI 1144815754
Nurse Practitioner - Psychiatric/Mental Health in Upland, CA
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
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Justin Tolentino Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Justin Tolentino reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Upland, CA 91786
- Reassigned Medicare billing, California enrollment
- 4 clinicians in this Medicare group
Upland, CA 91786
- Reassigned Medicare billing, California enrollment
- 2,584 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organizations bill Medicare for Justin Tolentino's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Tolentino reassigns Medicare benefits to 2 organizations: Sameer Sunita Hassamal & Company, Apc (Upland, CA) and Faculty Physicians And Surgeons Of Llusm (Upland, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Tolentino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 12 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.
# Justin Tolentino, PMHNP · NPI 1144815754
Psychiatric/Mental Health physician in Upland, California. Individual provider, active in the CMS NPPES registry since March 5, 2021.
## Identity
- **NPI:** 1144815754 (Entity type: Individual)
- **Enumerated:** March 5, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95035349 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1113 ALTA AVE STE 106, Upland, CA 91786-2803
- **Phone:** (909) 638-2475
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sameer Sunita Hassamal & Company, Apc (NPI 1710691431, Upland, CA); Faculty Physicians And Surgeons Of Llusm (NPI 1083863914, Upland, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** October 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1144815754) · Data from the CMS NPPES public registry.