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DR. ANDRE P. LALLANDE D.O.
NPI 1053471045
Internal Medicine - Rheumatology in Fontana, CA

Active since December 11, 2006PECOS Enrolled
5726 RIDGEMARK PL, FONTANA, CA 92336(909) 559-1050 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 18, 2021, Mar 8, 2018 (2 updates tracked since 2018).

About Dr. Andre P. Lallande D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDRE P. LALLANDE D.O. (NPI 1053471045) is an individual rheumatology provider in Fontana, California, licensed in California (20A7021) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of College Of Osteo Med Of The Pacific At Pomona (1995).

NPPES Registry Identity

NPI1053471045
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. ANDRE P. LALLANDECredential: D.O.
Location Address5726 RIDGEMARK PLFontana, CA 92336-5159
Mailing Address5726 Ridgemark PlFontana, CA 92336-5159 · (909) 559-1050
Phone(909) 559-1050
Sole ProprietorNo
Medical School CMSCollege Of Osteo Med Of The Pacific At PomonaGraduated 1995
Enumeration DateDecember 11, 2006
Last NPPES UpdateFebruary 18, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2021
✔ NPI 1053471045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in CA · 20A7021
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License 20A7021 (CA)
5726 RIDGEMARK PL, Fontana, CA 92336
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Other Names 1

Professional Name (2)Andre P. Lallande D.o.

Other Identifiers 2

Other05D0575313CA · Clia # For Group
OtherZZZ34392ZCA · Medicare Group Id

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andre P. Lallande D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385680545
PECOS Enrollment IDI20050628001395
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Andre Lallande reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lake County Tribal Health Southshore Clinic
440 mi
Federally Qualified Health Center (FQHC)
14440 OLYMPIC DRIVE
Clearlake, CA 95422
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Lake County Tribal Health Consortium Inc
  • 59 clinicians in this Medicare group
NPI 1063158038 (707) 263-8382

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92336 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$19.50 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$109.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andre Lallande's NPI number?

The NPI number for Andre Lallande is 1053471045. It was assigned to this individual provider in the NPPES registry on December 11, 2006. The provider is also known as Andre P. Lallande D.O..

Where is Andre Lallande located?

Andre Lallande practices at 5726 Ridgemark Pl, Fontana, CA 92336. The listed phone number is (909) 559-1050.

What is Andre Lallande's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Andre Lallande enrolled in Medicare?

Yes. Andre Lallande is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andre Lallande's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andre Lallande reassigns Medicare benefits to Lake County Tribal Health Southshore Clinic (Clearlake, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andre Lallande's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andre Lallande was last updated on February 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.