Individual Healthcare Provider
Justin Tolentino, PMHNP
Provider's NPPES record last updated: October 27, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1144815754
- Primary Specialty
- Nurse Practitioner — Psychiatric/Mental Health
- Practice Location
- Upland, California
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 9:01 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Psychiatric/Mental Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LP0808X Registered Nurse
Psychiatric/Mental Health
Nursing Service Providers
Definition to come...
Taxonomy code 163WP0808X
Provider-Reported License Information
- Nurse Practitioner (California)
- 95035349
- Registered Nurse (California)
- 95116951
Practice Locations
Practice Location
1113 Alta Ave Ste 106
Upland, California 91786-2803
Phone: (909) 638-2475
Additional Practice Location
5330 San Bernardino St
Montclair, California 91763-2952
Phone: (866) 205-3595
Record Information
- Enumeration Date
- March 5, 2021
- Provider's NPPES Record Last Updated
- October 27, 2025
- Certification Date
- October 27, 2025
- NPISignal NPPES Dataset
- August 2026
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