GARY MARK AGCAOILI, C.T.R.S — NPI 1649284019 (Licensed & Credentialed Recreation Therapist in SAN FRANCISCO, CA)

CMS-1500 Box 24J / 33a • NPI

1649284019

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

225800000X

Licensed & Credentialed Recreation Therapist

Box 32 Service Location & ZIP+4

4150 CLEMENT ST, SAN FRANCISCO, CA, 94121-1545

✓ 9-Digit EDI 837 ZIP+4 (94121-1545)

Practice Phone & Referral Fax

(415) 221-4810

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1649284019 (GARY MARK AGCAOILI, C.T.R.S) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1649284019` (NPI-1 Individual Practitioner)
Provider / Legal Name	GARY MARK AGCAOILI, C.T.R.S
Plain-English Specialty	Licensed & Credentialed Recreation Therapist NUCC Code: `225800000X` (Recreation Therapist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	4150 CLEMENT ST, SAN FRANCISCO, CA, 94121-1545
Practice Telephone / Fax	Tel: (415) 221-4810
Administrative Mailing Address	3520 PARK RIDGE DR, RICHMOND, CA, 94806-5824
Enumeration & Last Sync	Enumerated: 2006-07-28 \| CMS Record Updated: 2007-07-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

4150 CLEMENT ST, SAN FRANCISCO, CA, 94121-1545

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Plain-English Taxonomy & CMS Crosswalk (225800000X)

What Does Taxonomy Code 225800000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225800000X translates to:
"Licensed & Credentialed Recreation Therapist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Recreation Therapist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (GARY MARK AGCAOILI, C.T.R.S)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`225800000X` — Recreation Therapist Plain English: Licensed & Credentialed Recreation Therapist	State: CA \| License: `32223` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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GARY MARK AGCAOILI, C.T.R.S (NPI #1649284019)