RIAN JAMES BLACKWOOD DO
NPI 1093456915
Family Medicine in San Bernardino, CA

Active since April 05, 2022PECOS EnrolledAccepts Medicare Assignment
250 S G ST, SAN BERNARDINO, CA 92410(909) 382-1700 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2025, Apr 5, 2022 (2 updates tracked since 2022).

About Rian James Blackwood Do NPPES

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

RIAN JAMES BLACKWOOD DO (NPI 1093456915) is an individual family medicine provider in San Bernardino, California, licensed in California (22316) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1093456915
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRIAN JAMES BLACKWOODCredential: DO
Location Address250 S G STSan Bernardino, CA 92410-3320
Mailing Address250 S G StSan Bernardino, CA 92410-3320 · (909) 382-7100
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 5, 2022
Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
NPI 1093456915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · 22316
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
250 S G ST, San Bernardino, CA 92410

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Rian James Blackwood Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143737825
PECOS Enrollment IDI20250728002774
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92410 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 20

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

Family Medicine (Addiction Medicine)
250 S G ST
SAN BERNARDINO, CA 92410
Student in an Organized Health Care Education/Training Program
250 S G ST
SAN BERNARDINO, CA 92410
Family Medicine
250 S G ST
SAN BERNARDINO, CA 92410
Nurse Practitioner (Pediatrics)
250 S G ST
SAN BERNARDINO, CA 92410
Emergency Medical Technician, Paramedic
250 S G ST
SAN BERNARDINO, CA 92410
Psychologist
250 S G ST
SAN BERNARDINO, CA 92410
Substance Abuse Rehabilitation Facility
250 S G ST
SAN BERNARDINO, CA 92410
Nurse Practitioner (Psychiatric/Mental Health)
250 S G ST
SAN BERNARDINO, CA 92410

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 Rian Blackwood's NPI number?

The NPI number for Rian Blackwood is 1093456915. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Rian Blackwood located?

Rian Blackwood practices at 250 S G St, San Bernardino, CA 92410. The listed phone number is (909) 382-1700.

What is Rian Blackwood's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rian Blackwood enrolled in Medicare?

Yes. Rian Blackwood is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Rian Blackwood was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.