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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BAHAREH MAKNOUNI
NPI 1235691361
Internal Medicine in Colton, CA

Active since April 06, 2019PECOS Enrolled
400 N PEPPER AVE, COLTON, CA 92324(909) 580-1000 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, Aug 19, 2022, Apr 6, 2019 (3 updates tracked since 2019).

About Bahareh Maknouni NPPES

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

BAHAREH MAKNOUNI (NPI 1235691361) is an individual internal medicine provider in Colton, California, licensed in California (180280) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1235691361
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameBAHAREH MAKNOUNI
Location Address400 N PEPPER AVEColton, CA 92324-1801
Mailing Address400 N Pepper AveColton, CA 92324-1801
Phone(909) 580-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 6, 2019
Last NPPES UpdateSeptember 29, 20263 updates tracked since enumeration
NPPES CertifiedAugust 19, 2022
✔ NPI 1235691361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · 180280
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
400 N PEPPER AVE, Colton, CA 92324
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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)

Bahareh Maknouni is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971063785
PECOS Enrollment IDI20260901001869
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 Bahareh Maknouni reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Facey Medical Foundation
37 mi
Multi-Specialty
57 PRISM
Irvine, CA 92618
  • Reassigned Medicare billing, California enrollment
  • 684 clinicians in this Medicare group
NPI 1891348447 (818) 847-6881

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 92324 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
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 20

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

CATHERINE J CALHOUN
Licensed Psychiatric Technician
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-1800
CINDY COZART
Registered Nurse (Psychiatric/Mental Health)
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-1800
ARROWHEAD REGIONAL MEDICAL CENTER
General Acute Care Hospital
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-1000
LINDA MATTHEWS
Registered Nurse
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-3144
BRANDI DEUEL
Registered Nurse
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-3144
CHIQUE LOU FLORES RN
Registered Nurse
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-1800
KEVIN THIEN ONG
Student in an Organized Health Care Education/Training Program
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (510) 525-6927
CAROLYN M DOHERTY MD
Otolaryngology
400 N PEPPER AVE, MOB SUITE 308
COLTON, CA 92324
San Bernardino County (909) 580-3353

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 Bahareh Maknouni's NPI number?

The NPI number for Bahareh Maknouni is 1235691361. It was assigned to this individual provider in the NPPES registry on April 6, 2019.

Where is Bahareh Maknouni located?

Bahareh Maknouni practices at 400 N Pepper Ave, Colton, CA 92324. The listed phone number is (909) 580-1000.

What is Bahareh Maknouni's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bahareh Maknouni enrolled in Medicare?

Yes. Bahareh Maknouni is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bahareh Maknouni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bahareh Maknouni reassigns Medicare benefits to Providence Facey Medical Foundation (Irvine, 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 Bahareh Maknouni'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 Bahareh Maknouni was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.