DR. JACLYN JEAN TOLENTINO D.O.
NPI 1609201417
Family Medicine in El Segundo, CA

Q: What is Jaclyn Tolentino's NPI number?

The NPI number for Jaclyn Tolentino is 1609201417. It was assigned to this individual provider in the NPPES registry on September 11, 2013.

Q: What is Jaclyn Tolentino's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: Is Jaclyn Tolentino enrolled in Medicare?

No. Jaclyn Tolentino has opted out of Medicare through November 20, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Tolentino was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 11, 2013Opted out of Medicare · through Nov 20, 2026

740 S PACIFIC COAST HWY, EL SEGUNDO, CA 90245(310) 563-7366 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2024, Nov 5, 2019 (2 updates tracked since 2019).

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About Dr. Jaclyn Jean Tolentino D.o. NPPES

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

DR. JACLYN JEAN TOLENTINO D.O. (NPI 1609201417) is an individual family medicine provider in El Segundo, California, licensed in California (20A16308) and active in the NPI registry since September 2013. She has opted out of Medicare through November 20, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1609201417

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JACLYN JEAN TOLENTINOCredential: D.O.

Location Address740 S PACIFIC COAST HWYEl Segundo, CA 90245-4717

Mailing Address321 Fowling StPlaya Del Rey, CA 90293-7729 · (305) 458-7824

Phone(310) 563-7366

Sole ProprietorYes

Enumeration DateSeptember 11, 2013

Last NPPES UpdateMay 6, 20242 updates tracked since enumeration

NPPES CertifiedDecember 6, 2022

✔ NPI 1609201417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in CA · 20A16308✔ Licensed in FL · OS12358

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

740 S PACIFIC COAST HWY, El Segundo, CA 90245

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Jaclyn Jean Tolentino D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 20, 2018 through November 20, 2026.

Opt-Out Effective DateNovember 20, 2018

Opt-Out In Effect ThroughNovember 20, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90245 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

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 Jaclyn Tolentino's NPI number?

The NPI number for Jaclyn Tolentino is 1609201417. It was assigned to this individual provider in the NPPES registry on September 11, 2013.

Where is Jaclyn Tolentino located?

Jaclyn Tolentino practices at 740 S Pacific Coast Hwy, El Segundo, CA 90245. The listed phone number is (310) 563-7366.

What is Jaclyn Tolentino's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jaclyn Tolentino enrolled in Medicare?

No. Jaclyn Tolentino has opted out of Medicare through November 20, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jaclyn Tolentino was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.