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BREANNA LOUISE POTENCIANO
NPI 1255293379
Physician Assistant in Loma Linda, CA

Active since November 26, 2025PECOS Enrolled
24951 CIRCLE DR STE 1605, LOMA LINDA, CA 92350(909) 558-4599 Get Directions Write a Review

NPPES record last updated: February 21, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Breanna Louise Potenciano NPPES

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

BREANNA LOUISE POTENCIANO (NPI 1255293379) is an individual physician assistant in Loma Linda, California, licensed in California (PA67865) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255293379
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBREANNA LOUISE POTENCIANO
Location Address24951 CIRCLE DR STE 1605Loma Linda, CA 92350-1718
Mailing Address24951 Circle Dr Ste 1605Loma Linda, CA 92350-1718 · (909) 558-4599
Phone(909) 558-4599
Sole ProprietorYes
Enumeration DateNovember 26, 2025
Last NPPES UpdateFebruary 21, 2026
NPPES CertifiedFebruary 21, 2026
✔ NPI 1255293379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA67865
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
24951 CIRCLE DR STE 1605, Loma Linda, CA 92350
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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 (PECOS)

Breanna Louise Potenciano 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 92350 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
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
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 2

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

MS. SANAZ ESMAEILIAN DEHAGHANI
Physician Assistant
24951 CIRCLE DR STE 1605
LOMA LINDA, CA 92350
San Bernardino County (949) 247-9480
ALEXANDRA MALIT
Physician Assistant
24951 CIRCLE DR STE 1605
LOMA LINDA, CA 92350
San Bernardino County (909) 809-4870

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 Breanna Potenciano's NPI number?

The NPI number for Breanna Potenciano is 1255293379. It was assigned to this individual provider in the NPPES registry on November 26, 2025.

Where is Breanna Potenciano located?

Breanna Potenciano practices at 24951 Circle Dr Ste 1605, Loma Linda, CA 92350. The listed phone number is (909) 558-4599.

What is Breanna Potenciano's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Breanna Potenciano enrolled in Medicare?

Yes. Breanna Potenciano is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Breanna Potenciano was last updated on February 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.