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JUSTIN JOSEPH D'AGOSTINO DO
NPI 1376165449
Student in an Organized Health Care Education/Training Program in West Covina, CA

Active since May 12, 2020PECOS EnrolledAccepts Medicare Assignment
1115 S SUNSET AVE, WEST COVINA, CA 91790(626) 813-7837 Get Directions Write a Review

NPPES record last updated: May 12, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Justin Joseph D'agostino Do NPPES

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

JUSTIN JOSEPH D'AGOSTINO DO (NPI 1376165449) is an individual student in an organized health care education/training program in West Covina, California and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1376165449
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUSTIN JOSEPH D'AGOSTINOCredential: DO
Location Address1115 S SUNSET AVEWest Covina, CA 91790-3940
Mailing Address1115 S Sunset AveWest Covina, CA 91790-3940 · (626) 813-7837
Phone(626) 813-7837
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 12, 2020
NPPES CertifiedMay 12, 2020
✔ NPI 1376165449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1115 S SUNSET AVE, West Covina, CA 91790
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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

Justin Joseph D'agostino Do 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 ID42650632
PECOS Enrollment IDI20240430001743
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 Reassignment

Medicare enrollment records show Justin D'agostino reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Valley Community Health Center, Inc.
1.1 mi
Federally Qualified Health Center (FQHC)
420 S GLENDORA AVE
West Covina, CA 91790
  • Reassigned Medicare billing, California enrollment
  • 49 clinicians in this Medicare group
NPI 1831243625 (626) 919-4333

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MRS. CLAIRE MARIE TABARES FNP-C
Nurse Practitioner
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 814-2547
MRS. SHANNON RIVERA PA-C
Physician Assistant
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 962-4011
CATHARINE IRENE JORDAN REGISTERED NURSE
Registered Nurse (Emergency)
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 814-2534
IVY KRISTINA ENVERGA PHARMD
Pharmacist
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 814-2412
MICHELLE INGA
Registered Nurse (Emergency)
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 962-4011
LAUREN CAROL O'NEAL PA-C
Physician Assistant
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 962-4011
TREVOR-TRUNG NGUYEN
Student in an Organized Health Care Education/Training Program
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 962-4011
DR. DAVID J MICHELSON M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 962-4011

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 D'agostino's NPI number?

The NPI number for Justin D'agostino is 1376165449. It was assigned to this individual provider in the NPPES registry on May 12, 2020.

Where is Justin D'agostino located?

Justin D'agostino practices at 1115 S Sunset Ave, West Covina, CA 91790. The listed phone number is (626) 813-7837.

What is Justin D'agostino's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Justin D'agostino enrolled in Medicare?

Yes. Justin D'agostino 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 organization bills Medicare for Justin D'agostino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin D'agostino reassigns Medicare benefits to East Valley Community Health Center, Inc. (West Covina, CA). The 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 D'agostino'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 D'agostino was last updated on May 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.