KRISTOFER JOHN VANCE MD
NPI 1124643135
Pediatrics in Loma Linda, CA

Q: What is Kristofer Vance's NPI number?

The NPI number for Kristofer Vance is 1124643135. It was assigned to this individual provider in the NPPES registry on June 15, 2020.

Q: What is Kristofer Vance's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kristofer Vance was last updated on July 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 15, 2020PECOS Enrolled

11234 ANDERSON ST, LOMA LINDA, CA 92354(909) 558-4174 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 17, 2023, Jun 15, 2020 (2 updates tracked since 2020).

On this page

About Kristofer John Vance Md NPPES

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

KRISTOFER JOHN VANCE MD (NPI 1124643135) is an individual pediatrics provider in Loma Linda, California, licensed in California (A187521) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124643135

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameKRISTOFER JOHN VANCECredential: MD

Location Address11234 ANDERSON STLoma Linda, CA 92354-2804

Mailing Address11234 Anderson St, Gme Office Westerly Suite CLoma Linda, CA 92354-2804 · (909) 558-4174

Phone(909) 558-4174

Sole ProprietorNo

Enumeration DateJune 15, 2020

Last NPPES UpdateJuly 17, 20232 updates tracked since enumeration

NPPES CertifiedJuly 17, 2023

✔ NPI 1124643135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A187521

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, Loma Linda, CA 92354

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristofer John Vance Md 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.

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.