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ELIJAH TINO TOLENTINO-MEDIOS
NPI 1831821560
Counselor - Mental Health in Daly City, CA

Active since June 30, 2022Accepts Medicare Assignment
2 EDGEWOOD CT, DALY CITY, CA 94014(650) 994-7110 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elijah Tino Tolentino-medios NPPES

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

ELIJAH TINO TOLENTINO-MEDIOS (NPI 1831821560) is an individual mental health provider in Daly City, California and active in the NPI registry since June 2022. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1831821560
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameELIJAH TINO TOLENTINO-MEDIOS
Location Address2 EDGEWOOD CTDaly City, CA 94014-1841
Mailing Address2 Edgewood CtDaly City, CA 94014-1841
Phone(650) 994-7110
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 30, 2022
NPPES CertifiedJune 30, 2022
✔ NPI 1831821560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2 EDGEWOOD CT, Daly City, CA 94014
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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

Elijah Tino Tolentino-medios 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 ID6305334871
PECOS Enrollment IDI20251024003378

Medicare Billing Reassignment

Medicare enrollment records show Elijah Tolentino-medios reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sand Coast Rehab Physical Therapy Inc
2,575 mi
Physical Therapist
436 CHESTNUT ST UNIT 1
Lakewood, NJ 08701
  • Reassigned Medicare billing, California enrollment
  • 190 clinicians in this Medicare group
NPI 1639766603 (732) 994-3200

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.

KATHY GONZALEZ MSC
Counselor (Mental Health)
2 EDGEWOOD CT
DALY CITY, CA 94014
San Mateo County (650) 994-7110
ELAINE OLVERA HIDALGO
Counselor (Mental Health)
2 EDGEWOOD CT
DALY CITY, CA 94014
San Mateo County (650) 994-7110
GRACE Y CHEN
Counselor
2 EDGEWOOD CT
DALY CITY, CA 94014
San Mateo County (650) 994-7110
MARIELLA THANING
Counselor
2 EDGEWOOD CT
DALY CITY, CA 94014
San Mateo County (650) 994-7110
MS. CRYSTALYN MALBAS
Community Health Worker
2 EDGEWOOD CT
DALY CITY, CA 94014
San Mateo County (650) 994-7110
CHRISTIAN EDWARD BUNDY
Counselor
2 EDGEWOOD CT
DALY CITY, CA 94014
San Mateo County (650) 994-7110
ALEXA KUKANA CASTRO ZIEGEL
Counselor
2 EDGEWOOD CT
DALY CITY, CA 94014
San Mateo County (650) 994-7110
LAURI ANN BOWSER AA
Day Training/Habilitation Specialist
2 EDGEWOOD CT
DALY CITY, CA 94014
San Mateo County (650) 994-7110

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 Elijah Tolentino-medios's NPI number?

The NPI number for Elijah Tolentino-medios is 1831821560. It was assigned to this individual provider in the NPPES registry on June 30, 2022.

Where is Elijah Tolentino-medios located?

Elijah Tolentino-medios practices at 2 Edgewood Ct, Daly City, CA 94014. The listed phone number is (650) 994-7110.

What is Elijah Tolentino-medios's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Elijah Tolentino-medios enrolled in Medicare?

Yes. Elijah Tolentino-medios 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 Elijah Tolentino-medios's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elijah Tolentino-medios reassigns Medicare benefits to Sand Coast Rehab Physical Therapy Inc (Lakewood, NJ). 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 Elijah Tolentino-medios'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 Elijah Tolentino-medios was last updated on June 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.