Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jason Kenneth Agustin, PA-C

Individual provider Medical Physician Assistant · NPI 1861637274

Mr. Jason Kenneth Agustin, PA-C is a Physician Assistant in San Gabriel, California. Qualified in 2008, 18 years ago. Practices with Advanced Lung Center Medical Group Inc, an 8-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

136 Bridge St
San Gabriel, CA 91775-2720
Phone: (562) 833-0184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA20040 (CA)

Record details

NPI number1861637274
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 15, 2008
Last updated in NPPESMay 5, 2023
Certification dateMay 5, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Advanced Lung Center Medical Group Inc. — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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