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DR. BRYAN ANDREW MITTON MD, PHD
NPI 1063674620
Pediatrics in Hesperia, CA

Active since June 25, 2008PECOS Enrolled
12021 JACARANDA AVE STE 101, HESPERIA, CA 92345(760) 956-5057 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Bryan Andrew Mitton Md, Phd NPPES

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

DR. BRYAN ANDREW MITTON MD, PHD (NPI 1063674620) is an individual pediatrics provider in Hesperia, California, licensed in California (A112409) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Temecula.

NPPES Registry Identity

NPI1063674620
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. BRYAN ANDREW MITTONCredential: MD, PHD
Location Address12021 JACARANDA AVE STE 101Hesperia, CA 92345-4978
Mailing Address12021 Jacaranda Ave Ste 101Hesperia, CA 92345-4978 · (760) 956-5057
Phone(760) 956-5057
Sole ProprietorYes
Enumeration DateJune 25, 2008
Last NPPES UpdateFebruary 6, 2024
NPPES CertifiedFebruary 6, 2024
✔ NPI 1063674620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A112409
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Pediatric Hematology-OncologyTaxonomy 2080P0207X · License A112409 (CA)
12021 JACARANDA AVE STE 101, Hesperia, CA 92345
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Secondary Practice Location 1

Location 141840 Enterprise Cir NTemecula, CA 92590-5654 · Phone (951) 225-6400

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bryan Andrew Mitton Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Bryan Mitton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neighborhood Healthcare
93 mi
Federally Qualified Health Center (FQHC)
460 N ELM ST
Escondido, CA 92025
  • Reassigned Medicare billing, California enrollment
  • 332 clinicians in this Medicare group
NPI 1598703647 (760) 520-8100
Sharp Rees-Stealy Medical Group, Inc
112 mi
Internal Medicine
5651 COPLEY DR STE A
San Diego, CA 92111
  • Reassigned Medicare billing, California enrollment
  • 1,233 clinicians in this Medicare group
NPI 1285616177 (858) 262-6666

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 92345 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANDRA LIMON NP
Nurse Practitioner
12021 JACARANDA AVE STE 101
HESPERIA, CA 92345
San Bernardino County (760) 956-5057
BEN ARNOLD ADOM NP
Registered Nurse
12021 JACARANDA AVE STE 101
HESPERIA, CA 92345
San Bernardino County (760) 956-5057
ARLENE BRAHAM MD
General Practice
12021 JACARANDA AVE STE 101
HESPERIA, CA 92345
San Bernardino County (760) 956-5174

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 Bryan Mitton's NPI number?

The NPI number for Bryan Mitton is 1063674620. It was assigned to this individual provider in the NPPES registry on June 25, 2008.

Where is Bryan Mitton located?

Bryan Mitton practices at 12021 Jacaranda Ave Ste 101, Hesperia, CA 92345. The listed phone number is (760) 956-5057.

What is Bryan Mitton's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Bryan Mitton enrolled in Medicare?

Yes. Bryan Mitton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Bryan Mitton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bryan Mitton reassigns Medicare benefits to 2 organizations: Neighborhood Healthcare (Escondido, CA) and Sharp Rees-Stealy Medical Group, Inc (San Diego, CA). Each 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 Bryan Mitton'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 Bryan Mitton was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.