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SHAWHIN DANIEL BEROUKHIM
NPI 1194353698
Student in an Organized Health Care Education/Training Program in Colton, CA

Active since March 30, 2020PECOS EnrolledAccepts Medicare Assignment
400 N PEPPER AVE STE 309, COLTON, CA 92324(909) 580-3362 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2024, Jan 22, 2023, Mar 30, 2020 (3 updates tracked since 2020).

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

NPI1194353698
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHAWHIN DANIEL BEROUKHIM
Location Address400 N PEPPER AVE STE 309Colton, CA 92324-1801
Mailing Address703 Main StPaterson, NJ 07503-2621 · (973) 754-2000
Phone(909) 580-3362
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 30, 2020
Last NPPES UpdateJune 4, 20243 updates tracked since enumeration
NPPES CertifiedJune 4, 2024
✔ NPI 1194353698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
400 N PEPPER AVE STE 309, Colton, CA 92324
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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

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.

PECOS PAC ID3072045426
PECOS Enrollment IDI20241010002000
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 2

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

DR. GUNJAN BHAT MD
Student in an Organized Health Care Education/Training Program
400 N PEPPER AVE STE 309
COLTON, CA 92324
San Bernardino County (909) 580-3362
ASHLEY STADING
Thoracic Surgery (Cardiothoracic Vascular Surgery)
400 N PEPPER AVE STE 309
COLTON, CA 92324
San Bernardino County (909) 580-3362

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.

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.