JOHN GASPAR AGTUCA D.O.
NPI 1306200183
Internal Medicine in Riverside, CA

Active since April 07, 2016PECOS EnrolledAccepts Medicare Assignment
6900 BROCKTON AVE STE 100, RIVERSIDE, CA 92506(951) 781-3800(951) 781-1973 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 17, 2023, Jul 1, 2019, May 6, 2019 (3 updates tracked since 2019).

About John Gaspar Agtuca D.o. NPPES

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

JOHN GASPAR AGTUCA D.O. (NPI 1306200183) is an individual internal medicine provider in Riverside, California, licensed in California (20A16933) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Corona, and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2016).

NPPES Registry Identity

NPI1306200183
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN GASPAR AGTUCACredential: D.O.
Location Address6900 BROCKTON AVE STE 100Riverside, CA 92506-3817
Mailing AddressPo Box 5089Norco, CA 92860-8003
Fax(951) 781-1973
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2016
Enumeration DateApril 7, 2016
Last NPPES UpdateAugust 17, 20233 updates tracked since enumeration
NPPES CertifiedAugust 17, 2023
✔ NPI 1306200183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · 20A16933
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6900 BROCKTON AVE STE 100, Riverside, CA 92506

Secondary Practice Location 1

Location 12250 S Main St Ste 106Corona, CA 92882-2501 · Phone (951) 371-2703 · Fax (951) 735-3296

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John Gaspar Agtuca D.o. 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 ID8729410634
PECOS Enrollment IDI20191114002512
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.

Medicare Billing Reassignments

2

Medicare enrollment records show John Agtuca reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
6900 BROCKTON AVE STE 100
Riverside, CA 92506
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
Family Medicine
1901 TOWN AND COUNTRY DR, SUITE 104
Norco, CA 92860
  • Reassigned Medicare billing, California enrollment
  • 24 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
120 services77 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92506 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
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

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

Internal Medicine
6900 BROCKTON AVE STE 100
RIVERSIDE, CA 92506

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 John Agtuca's NPI number?

The NPI number for John Agtuca is 1306200183. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Where is John Agtuca located?

John Agtuca practices at 6900 Brockton Ave Ste 100, Riverside, CA 92506. The listed phone number is (951) 781-3800.

What is John Agtuca's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Agtuca enrolled in Medicare?

Yes. John Agtuca 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.

Which organizations bill Medicare for John Agtuca's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Agtuca reassigns Medicare benefits to 2 organizations: Platinum Providers Medical Group Inc (Riverside, CA) and Citrus Valley Medical Associates, Inc. (Norco, 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 John Agtuca'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 John Agtuca was last updated on August 17, 2023. 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.