JOHN GASPAR AGTUCA (D.O.) – Internal Medicine Physician, NPI 1306200183

JOHN GASPAR AGTUCA (D.O.) is a healthcare provider. based in Norco, California. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. 20A16933 (CA). The NPI Number for JOHN GASPAR AGTUCA (D.O.) is 1306200183

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
JOHN GASPAR AGTUCA (D.O.)
NPI
1306200183
Phone
Not provided
Address
PO BOX 5089
Enumeration Date
7 April 2016
Last Update Date
17 August 2023

Doctor Profile

Medical School Name
ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Secondary Phone
9513712703
Graduation Year
2016 (10 years ago)
PAC ID
8729410634
Group Practice PAC ID
0446329932
Professional Enrollment ID
I20191114002512
Address ID
CA928822501CO2250XSTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

Provider Addresses for JOHN GASPAR AGTUCA (D.O.)

  • PO BOX 5089

    NORCO, CA 928608003

    Phone:

    Type: Mailing

  • 2250 S Main St Ste 106

    Corona, CA 928822501

    Phone: (951) 371-2703

    Fax: (951) 735-3296

    Type: Location

  • Town and Country Drive, Norco, Riverside County, California, 92860, United States

    NORCO, CA 928603611

    Phone: (951) 808-6240

    Fax: (951) 738-9954

    Type: Mailing

  • Brockton Avenue, Riverside, Riverside County, California, 92506, United States

    RIVERSIDE, CA 925063817

    Phone: (951) 781-3800

    Fax: (951) 781-1973

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $733.

Total Amount is formed as General ($733) + Research ($0) + Ownership ($0) = $733.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($198).

Total Amount

$733

General + Research + Ownership

Payments

35

Total payment records

General Amount

$733

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-11-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191114002512IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4829$0
View full utilization report →

Insurance plans in this area (ZIP 92860)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446329932View full group profile
NameSpecialtyState
-CA
Family PracticeIL
Family PracticeCA
General SurgeryCA
Family PracticeCA
Family PracticeCA
Family PracticeCA
Internal Medicine, General PracticeCA
Family PracticeCA
Internal MedicineCA

Reviews

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Frequently asked questions

Does JOHN GASPAR AGTUCA (D.O.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JOHN GASPAR AGTUCA (D.O.) uses 1306200183.
Does CMS list JOHN GASPAR AGTUCA (D.O.) as active?
Yes — JOHN GASPAR AGTUCA (D.O.) is active in the NPI listing used on this page.
What is JOHN GASPAR AGTUCA (D.O.)'s primary classification?
Internal Medicine Physician is the headline specialty for JOHN GASPAR AGTUCA (D.O.) here. Clinical services aligned with this taxonomy classification.
Where is JOHN GASPAR AGTUCA (D.O.) based?
JOHN GASPAR AGTUCA (D.O.) is tied to Norco, California in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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