Pablo Julian Agrio Sr.
Peer Specialist in Perris, CA. Individual provider (NPI-1).
NPI number1023973153
StatusActive
Last updated in NPPESDec 29, 2025
Details
- NPI
- 1023973153
- Entity type
- Individual (NPI-1)
- Name
- Mr. Pablo Julian Agrio Sr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 20, 2025
- Certification date
- Dec 29, 2025
- Last updated
- Dec 29, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | MPSS-BDIMLW | CA | Yes |
| 172V00000X | Community Health Worker | MPSS-BDIMLW | CA |
Practice location
450 E San Jacinto Ave Ste 3Perris, CA 92571-2833
Phone 951-443-2186
Mailing address
26120 Fairlane DrMenifee, CA 92586-1923
Phone 951-443-2186
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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