PEYMAN ANDALIB MD
NPI 1104028000
Student in an Organized Health Care Education/Training Program in Fontana, CA

Active since June 03, 2007PECOS EnrolledAccepts Medicare Assignment
9985 SIERRA AVE, KAISER PERMANENTE,DEPARTMENT OF NEUROLOGY, FONTANA, CA 92335(888) 750-0036 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peyman Andalib Md NPPES

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

PEYMAN ANDALIB MD (NPI 1104028000) is an individual student in an organized health care education/training program in Fontana, California and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1104028000
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePEYMAN ANDALIBCredential: MD
Location Address9985 SIERRA AVE, KAISER PERMANENTE,DEPARTMENT OF NEUROLOGYFontana, CA 92335-6720
Mailing Address9985 Sierra Ave., Kaiser Permanente,department Of NeurologyFontana, CA 92335 · (888) 750-0036
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateJune 3, 2007
Last NPPES UpdateNovember 2, 2021
NPPES CertifiedNovember 2, 2021
NPI 1104028000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
9985 SIERRA AVE, Fontana, CA 92335

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

Peyman Andalib Md 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 ID8022160472
PECOS Enrollment IDI20090715000377
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.

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.

Internal Medicine (Cardiovascular Disease)
9985 SIERRA AVE
FONTANA, CA 92335
Internal Medicine (Cardiovascular Disease)
9985 SIERRA AVE
FONTANA, CA 92335
Psychiatry & Neurology (Neurology)
9985 SIERRA AVE, MOB-2, BASEMENT
FONTANA, CA 92335
Internal Medicine
9985 SIERRA AVE
FONTANA, CA 92335
Physical Therapy Assistant
9985 SIERRA AVE
FONTANA, CA 92335
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
9985 SIERRA AVE
FONTANA, CA 92335
Occupational Therapist
9985 SIERRA AVE
FONTANA, CA 92335
Radiology (Diagnostic Radiology)
9985 SIERRA AVE, BLDG. #3, DEPT. OF RADIOLOGY
FONTANA, CA 92335

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 Peyman Andalib's NPI number?

The NPI number for Peyman Andalib is 1104028000. It was assigned to this individual provider in the NPPES registry on June 3, 2007.

Where is Peyman Andalib located?

Peyman Andalib practices at 9985 Sierra Ave Kaiser Permanente,department Of Neurology, Fontana, CA 92335. The listed phone number is (888) 750-0036.

What is Peyman Andalib's specialty?

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

Is Peyman Andalib enrolled in Medicare?

Yes. Peyman Andalib 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 Peyman Andalib was last updated on November 2, 2021. 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.