SHAWHIN DANIEL BEROUKHIM
NPI 1194353698
Student in an Organized Health Care Education/Training Program in Colton, CA
About Shawhin Daniel Beroukhim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAWHIN DANIEL BEROUKHIM (NPI 1194353698) is an individual student in an organized health care education/training program in Colton, California and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shawhin Daniel Beroukhim 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.
Medicare Billing Reassignment
Medicare enrollment records show Shawhin Beroukhim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pasadena, CA 91105
- Reassigned Medicare billing, California enrollment
- 214 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Shawhin Beroukhim's NPI number?
The NPI number for Shawhin Beroukhim is 1194353698. It was assigned to this individual provider in the NPPES registry on March 30, 2020.
Where is Shawhin Beroukhim located?
Shawhin Beroukhim practices at 400 N Pepper Ave Ste 309, Colton, CA 92324. The listed phone number is (909) 580-3362.
What is Shawhin Beroukhim's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Shawhin Beroukhim enrolled in Medicare?
Yes. Shawhin Beroukhim 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.
Which organization bills Medicare for Shawhin Beroukhim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shawhin Beroukhim reassigns Medicare benefits to Pacific Valley Medical Group (Pasadena, 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 Shawhin Beroukhim'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 Shawhin Beroukhim was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Shawhin Daniel Beroukhim · NPI 1194353698
Student in an Organized Health Care Education/Training Program provider in Colton, California. Individual provider, active in the CMS NPPES registry since March 30, 2020.
## Identity
- **NPI:** 1194353698 (Entity type: Individual)
- **Enumerated:** March 30, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 400 N PEPPER AVE STE 309, Colton, CA 92324-1801
- **Phone:** (909) 580-3362
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pacific Valley Medical Group (NPI 1851312862, Pasadena, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1194353698) · Data from the CMS NPPES public registry.