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PATRICK JERALD D'AGOSTINO
NPI 1770365090
Rehabilitation Practitioner in San Diego, CA

Active since October 20, 2023
2865 LOGAN AVE, SAN DIEGO, CA 92113(619) 232-4357(619) 232-7048 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Patrick Jerald D'agostino NPPES

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

PATRICK JERALD D'AGOSTINO (NPI 1770365090) is an individual rehabilitation practitioner in San Diego, California and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1770365090
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NamePATRICK JERALD D'AGOSTINO
Location Address2865 LOGAN AVESan Diego, CA 92113-2411
Mailing Address2865 Logan AveSan Diego, CA 92113-2411 · (619) 232-4357
Phone(619) 232-4357
Fax(619) 232-7048
Sole ProprietorYes
Enumeration DateOctober 20, 2023
Last NPPES UpdateApril 22, 2025
NPPES CertifiedApril 22, 2025
✔ NPI 1770365090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2865 LOGAN AVE, San Diego, CA 92113
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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.

DIONE TAYLOR
Counselor (Mental Health)
2865 LOGAN AVE
SAN DIEGO, CA 92113
San Diego County (619) 232-4357
IRENE FRANCES KILSTROM LVN
Licensed Vocational Nurse
2865 LOGAN AVE
SAN DIEGO, CA 92113
San Diego County (619) 232-4357
CRISTINA MICHELLE CHAPEL
Student in an Organized Health Care Education/Training Program
2865 LOGAN AVE
SAN DIEGO, CA 92113
San Diego County (619) 232-4357
HEATHER NICOLE HALL
Student in an Organized Health Care Education/Training Program
2865 LOGAN AVE
SAN DIEGO, CA 92113
San Diego County (619) 232-4357
RUTH YONG
Social Worker (Clinical)
2865 LOGAN AVE
SAN DIEGO, CA 92113
San Diego County (619) 232-4357
JASON WEAVER
Case Manager/Care Coordinator
2865 LOGAN AVE
SAN DIEGO, CA 92113
San Diego County (619) 232-4357
MEGAN A AMATO MS, MFT
Counselor (Mental Health)
2865 LOGAN AVE
SAN DIEGO, CA 92113
San Diego County (619) 232-4357
CIERRA RUCKER
Student in an Organized Health Care Education/Training Program
2865 LOGAN AVE
SAN DIEGO, CA 92113
San Diego County (619) 232-4357

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 Patrick D'agostino's NPI number?

The NPI number for Patrick D'agostino is 1770365090. It was assigned to this individual provider in the NPPES registry on October 20, 2023.

Where is Patrick D'agostino located?

Patrick D'agostino practices at 2865 Logan Ave, San Diego, CA 92113. The listed phone number is (619) 232-4357.

What is Patrick D'agostino's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Patrick D'agostino was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.