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ROBERT KLACANSKY
NPI 1083974968
Student in an Organized Health Care Education/Training Program in San Bernardino, CA

Active since May 24, 2012PECOS Enrolled
1950 S SUNWEST LN, SUITE 200, SAN BERNARDINO, CA 92408(909) 252-4010(909) 252-4055 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 11, 2022, Jun 24, 2016 (2 updates tracked since 2016).

About Robert Klacansky NPPES

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

ROBERT KLACANSKY (NPI 1083974968) is an individual student in an organized health care education/training program in San Bernardino, California and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083974968
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameROBERT KLACANSKY
Location Address1950 S SUNWEST LN, SUITE 200San Bernardino, CA 92408-3258
Mailing Address1950 S Sunwest Ln, Suite 200San Bernardino, CA 92408-3258 · (909) 252-4010 · Fax (909) 252-4055
Phone(909) 252-4010
Fax(909) 252-4055
Sole ProprietorYes
Enumeration DateMay 24, 2012
Last NPPES UpdateFebruary 11, 20222 updates tracked since enumeration
✔ NPI 1083974968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1950 S SUNWEST LN, San Bernardino, CA 92408
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Klacansky 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 Reassignment

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

Permanente Medical Group Inc
348 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

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

Other Providers at the Same Location NPPES 20

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

JENNIFER HEADLAND
Student in an Organized Health Care Education/Training Program
1950 S SUNWEST LN
SAN BERNARDINO, CA 92408
San Bernardino County (909) 252-4010
SUSAN NMI DAVIS LMFT
Marriage & Family Therapist
1950 S SUNWEST LN, SUITE 200
SAN BERNARDINO, CA 92408
San Bernardino County (909) 252-4044
RUBEN DIEGO GONZALEZ
Social Worker (Clinical)
1950 S SUNWEST LN, SUITE 200
SAN BERNARDINO, CA 92408
San Bernardino County (909) 252-4010
MR. JUAN A FIGUEROA JR.
Student in an Organized Health Care Education/Training Program
1950 S SUNWEST LN
SAN BERNARDINO, CA 92408
San Bernardino County (909) 252-4010
KYLE YOUNG
Student in an Organized Health Care Education/Training Program
1950 S SUNWEST LN
SAN BERNARDINO, CA 92408
San Bernardino County (909) 252-4010
LISA HAPER
Student in an Organized Health Care Education/Training Program
1950 S SUNWEST LN
SAN BERNARDINO, CA 92408
San Bernardino County (909) 252-4010
MEGAN GRISSO
Student in an Organized Health Care Education/Training Program
1950 S SUNWEST LN
SAN BERNARDINO, CA 92408
San Bernardino County (909) 252-4010
LATASHA ELEANOR HOWARD
Student in an Organized Health Care Education/Training Program
1950 S SUNWEST LN
SAN BERNARDINO, CA 92408
San Bernardino County (909) 252-4010

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 Robert Klacansky's NPI number?

The NPI number for Robert Klacansky is 1083974968. It was assigned to this individual provider in the NPPES registry on May 24, 2012.

Where is Robert Klacansky located?

Robert Klacansky practices at 1950 S Sunwest Ln Suite 200, San Bernardino, CA 92408. The listed phone number is (909) 252-4010.

What is Robert Klacansky's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Robert Klacansky enrolled in Medicare?

Yes. Robert Klacansky is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Robert Klacansky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Klacansky reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, 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 Robert Klacansky'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 Robert Klacansky was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.