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MR. FIDELITO BOADO AGCAOILI PA-C
NPI 1225316466
Physician Assistant in Riverside, CA

Active since July 21, 2011PECOS Enrolled
4000 14TH STREET, STE. 208, RIVERSIDE, CA 92501(951) 369-6191(951) 369-0304 Get Directions Write a Review

NPPES record last updated: July 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Fidelito Boado Agcaoili Pa-c NPPES

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

MR. FIDELITO BOADO AGCAOILI PA-C (NPI 1225316466) is an individual physician assistant in Riverside, California, licensed in California (PA-18803) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225316466
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. FIDELITO BOADO AGCAOILICredential: PA-C
Location Address4000 14TH STREET, STE. 208Riverside, CA 92501-4136
Mailing Address4000 14th Street, Ste. 208Riverside, CA 92501-4136 · (951) 369-6191 · Fax (951) 369-0304
Phone(951) 369-6191
Fax(951) 369-0304
Sole ProprietorNo
Enumeration DateJuly 21, 2011
✔ NPI 1225316466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA-18803
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4000 14TH STREET, Riverside, CA 92501
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Fidelito Boado Agcaoili Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 92501 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
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
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.

RIVERSIDE RADIOLOGY MEDICAL GROUP INC
Radiology (Diagnostic Radiology)
4000 14TH STREET, SUITE 109
RIVERSIDE, CA 92501
Riverside County (951) 276-7500
EUGENE W. ALBRIGHT, M.D., INC.
Obstetrics & Gynecology
4000 14TH STREET, SUITE #314
RIVERSIDE, CA 92501
Riverside County (951) 781-7184

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 Fidelito Agcaoili's NPI number?

The NPI number for Fidelito Agcaoili is 1225316466. It was assigned to this individual provider in the NPPES registry on July 21, 2011.

Where is Fidelito Agcaoili located?

Fidelito Agcaoili practices at 4000 14th Street Ste. 208, Riverside, CA 92501. The listed phone number is (951) 369-6191.

What is Fidelito Agcaoili's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Fidelito Agcaoili enrolled in Medicare?

Yes. Fidelito Agcaoili is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Fidelito Agcaoili was last updated on July 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.