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TAYLOR DANTUMA DO
NPI 1104407279
Pediatrics in Loma Linda, CA

Active since April 19, 2021PECOS Enrolled
11234 ANDERSON ST OFC, LOMA LINDA, CA 92354(909) 558-4000 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 27, 2023, Apr 19, 2021 (2 updates tracked since 2021).

About Taylor Dantuma Do NPPES

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

TAYLOR DANTUMA DO (NPI 1104407279) is an individual pediatrics provider in Loma Linda, California, licensed in California (20A20577) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104407279
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameTAYLOR DANTUMACredential: DO
Location Address11234 ANDERSON ST OFCLoma Linda, CA 92354-2804
Mailing Address11234 Anderson StLoma Linda, CA 92354-2804
Phone(909) 558-4000
Sole ProprietorYes
Enumeration DateApril 19, 2021
Last NPPES UpdateMarch 27, 20232 updates tracked since enumeration
NPPES CertifiedMarch 27, 2023
✔ NPI 1104407279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · 20A20577
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.
11234 ANDERSON ST OFC, Loma Linda, CA 92354
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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)

Taylor Dantuma Do 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 Taylor Dantuma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Riverside Medical Clinic, Inc
8.0 mi
Family Medicine
6405 DAY ST
Riverside, CA 92507
  • Reassigned Medicare billing, California enrollment
  • 349 clinicians in this Medicare group
NPI 1780782557 (951) 683-6370

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 92354 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 2

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

DR. JOCELYN CHEN-SANDOVAL MD
Obstetrics & Gynecology
11234 ANDERSON ST OFC
LOMA LINDA, CA 92354
San Bernardino County (909) 558-3614
DR. JAIMESEN JENAE RUDYK MD
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST OFC
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4196

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 Taylor Dantuma's NPI number?

The NPI number for Taylor Dantuma is 1104407279. It was assigned to this individual provider in the NPPES registry on April 19, 2021.

Where is Taylor Dantuma located?

Taylor Dantuma practices at 11234 Anderson St Ofc, Loma Linda, CA 92354. The listed phone number is (909) 558-4000.

What is Taylor Dantuma's specialty?

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

Is Taylor Dantuma enrolled in Medicare?

Yes. Taylor Dantuma is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Taylor Dantuma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taylor Dantuma reassigns Medicare benefits to Riverside Medical Clinic, Inc (Riverside, 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 Taylor Dantuma'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 Taylor Dantuma was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.