Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE GESNER AGCAOILI, MD
Deactivated Sole ProprietorInternal Medicine · RIVERSIDE, CA
This NPI has been deactivated.
The record was deactivated on March 21, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1124022108
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 8, 2005 (0.78356164383562 yrs)
- Last Updated
- Mar 11, 2020
- Deactivated
- Mar 21, 2006
- License
-
A46231 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4440 BROCKTON AVE.SUITE 320RIVERSIDE, CA, 92501Browse CA providers · Browse ZIP 92501
- Phone
- 9513696191
- Fax
- 9513690304
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in RIVERSIDE, CA
| Name | Credential | NPI |
|---|---|---|
| DR. CHRISTOPHER JAMES SWANSON | M.D. | 1023016847 |
| DR. CARL WOLNISTY | M.D. | 1912906140 |
| BENJAMIN CHUNG | MD | 1326031923 |
| PRAVIN M PANCHAL | MD | 1992799530 |
| DEREK NGUYEN | MD | 1528054095 |
| DR. MANGALA C SHAKER | M.D. | 1073509311 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.