MS. NICOLE AGOSTINO EWENS M.S. PA-C
NPI 1285061705
Physician Assistant in San Bernardino, CA

Q: What is Nicole Ewens's NPI number?

The NPI number for Nicole Ewens is 1285061705. It was assigned to this individual provider in the NPPES registry on September 29, 2013.

Q: What is Nicole Ewens's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Ewens was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 29, 2013

1873 COMMERCENTER W, SAN BERNARDINO, CA 92408(719) 633-6373 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Nicole Agostino Ewens M.s. Pa-c NPPES

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

MS. NICOLE AGOSTINO EWENS M.S. PA-C (NPI 1285061705) is an individual physician assistant in San Bernardino, California, licensed in California (23300) and active in the NPI registry since September 2013. She maintains a secondary practice location in Rancho Cucamonga.

NPPES Registry Identity

NPI1285061705

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. NICOLE AGOSTINO EWENSCredential: M.S. PA-C

Location Address1873 COMMERCENTER WSan Bernardino, CA 92408-3303

Mailing Address8239 Rochester Ave Ste 120Rancho Cucamonga, CA 91730-0715

Phone(719) 633-6373

Sole ProprietorNo

Enumeration DateSeptember 29, 2013

Last NPPES UpdateSeptember 28, 2022

NPPES CertifiedSeptember 28, 2022

✔ NPI 1285061705 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 · 23300

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.

1873 COMMERCENTER W, San Bernardino, CA 92408

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Secondary Practice Location 1

Location 18239 Rochester Ave Ste 120Rancho Cucamonga, CA 91730-0715 · Phone (909) 941-0266

Other Providers at the Same Location NPPES 14

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

MRS. EVA GUARDADO RN

Registered Nurse