MR. RONALD MAR TENORIO ATILLO AG-ACNP-BC
NPI 1346747391
Nurse Practitioner - Acute Care in San Diego, CA

Active since April 06, 2018PECOS EnrolledAccepts Medicare Assignment
200 W ARBOR DR, SAN DIEGO, CA 92103(800) 926-8273 Get Directions Write a Review

NPPES record last updated: May 31, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 14, 2022, Jul 27, 2018 (2 updates tracked since 2018).

About Mr. Ronald Mar Tenorio Atillo Ag-acnp-bc NPPES

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

MR. RONALD MAR TENORIO ATILLO AG-ACNP-BC (NPI 1346747391) is an individual acute care provider in San Diego, California, licensed in California (95008863) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Murrieta, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1346747391
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. RONALD MAR TENORIO ATILLOCredential: AG-ACNP-BC
Location Address200 W ARBOR DRSan Diego, CA 92103-9000
Mailing Address611 Paradise WayNational City, CA 91950-3060 · (747) 257-9053
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateApril 6, 2018
Last NPPES UpdateMay 31, 20222 updates tracked since enumeration
NPPES CertifiedMay 31, 2022
NPI 1346747391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in CA · 95008863
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 95008863 (CA)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 95008863 (CA)
200 W ARBOR DR, San Diego, CA 92103

Secondary Practice Location 1

Location 128062 Baxter RdMurrieta, CA 92563-1401 · Phone (951) 290-4000

Other Identifiers 4

Other95008863CA · Furnishing Number
Other768953CA · Board Of Nursing
Other2000070078CA · American Association Of Critical Care Nurses
Other95008863CA · California Board Of Nursing

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Ronald Mar Tenorio Atillo Ag-acnp-bc 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 ID3971853243
PECOS Enrollment IDI20180906003011
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 92103 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 20

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

Internal Medicine (Geriatric Medicine)
200 W ARBOR DR
SAN DIEGO, CA 92103
Hospice, Inpatient
200 W ARBOR DR
SAN DIEGO, CA 92103
Anesthesiology
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner (Psychiatric/Mental Health)
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR
SAN DIEGO, CA 92103
Physician Assistant (Surgical)
200 W ARBOR DR
SAN DIEGO, CA 92103

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 Ronald Mar Atillo's NPI number?

The NPI number for Ronald Mar Atillo is 1346747391. It was assigned to this individual provider in the NPPES registry on April 6, 2018.

Where is Ronald Mar Atillo located?

Ronald Mar Atillo practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (800) 926-8273.

What is Ronald Mar Atillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Ronald Mar Atillo enrolled in Medicare?

Yes. Ronald Mar Atillo 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.

When was this NPI record last updated?

The NPPES record for Ronald Mar Atillo was last updated on May 31, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.