1. Home
  2. Directory
  3. California
  4. Fontana
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

DR. PATRICK AVANESSIAN M.D.
NPI 1235480443
Student in an Organized Health Care Education/Training Program in Fontana, CA

Active since September 27, 2012PECOS EnrolledAccepts Medicare Assignment
9961 SIERRA AVE, FONTANA, CA 92335(909) 427-5084 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Patrick Avanessian M.d. NPPES

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

DR. PATRICK AVANESSIAN M.D. (NPI 1235480443) is an individual student in an organized health care education/training program in Fontana, California and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1235480443
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. PATRICK AVANESSIANCredential: M.D.
Location Address9961 SIERRA AVEFontana, CA 92335-6720
Mailing Address9961 Sierra AveFontana, CA 92335-6720
Phone(909) 427-5084
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 27, 2012
Last NPPES UpdateOctober 18, 2021
NPPES CertifiedOctober 18, 2021
✔ NPI 1235480443 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.

9961 SIERRA AVE, Fontana, CA 92335
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 and accepts Medicare assignment

Dr. Patrick Avanessian M.d. 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 ID5092031955
PECOS Enrollment IDI20150312000006
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.

MR. TERRY RICHARD SKOK RNP
Nurse Practitioner (Acute Care)
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 427-3395
TIMOTHY MCCARTER MD
Internal Medicine (Gastroenterology)
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 427-7830
DR. GABRIEL FELICIANO ALVAREZ PHARM.D.
Pharmacist
9961 SIERRA AVE, DEPT OF INPATIENT PHARMACY
FONTANA, CA 92335
San Bernardino County (909) 427-5335
DR. JENNIFER M LEE PHARM.D.
Pharmacist
9961 SIERRA AVE, INPATIENT PHARMACY
FONTANA, CA 92335
San Bernardino County (909) 427-5874
SANI HANH PHAM PHARM, D.
Pharmacist
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 427-5335
THERESE M. HERSHEY PHARM.D.
Pharmacist
9961 SIERRA AVE, INPATIENT PHARMACY
FONTANA, CA 92335
San Bernardino County (909) 427-5026
FRANCIS Y CHAN PHARM.D.
Pharmacist
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 427-7559
DR. ANDREW SIMENTAL JR. PHARM.D.
Pharmacist
9961 SIERRA AVE, KAISER HOSPITAL BLDG 3, BSMT INPT PHARMACY
FONTANA, CA 92335
San Bernardino County (909) 427-5026

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 Patrick Avanessian's NPI number?

The NPI number for Patrick Avanessian is 1235480443. It was assigned to this individual provider in the NPPES registry on September 27, 2012.

Where is Patrick Avanessian located?

Patrick Avanessian practices at 9961 Sierra Ave, Fontana, CA 92335. The listed phone number is (909) 427-5084.

What is Patrick Avanessian's specialty?

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

Is Patrick Avanessian enrolled in Medicare?

Yes. Patrick Avanessian 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 Patrick Avanessian was last updated on October 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.