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DR. KENNETH TONIC COLLADO MD
NPI 1265127310
Internal Medicine in Loma Linda, CA

Active since April 05, 2023PECOS Enrolled
11234 ANDERSON ST, LOMA LINDA, CA 92354(909) 558-4074 Get Directions Write a Review

NPPES record last updated: April 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 13, 2025, Apr 5, 2023 (2 updates tracked since 2023).

About Dr. Kenneth Tonic Collado Md NPPES

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

DR. KENNETH TONIC COLLADO MD (NPI 1265127310) is an individual internal medicine provider in Loma Linda, California, licensed in California (A197715) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of California University Of Science And Medicine (2023).

NPPES Registry Identity

NPI1265127310
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KENNETH TONIC COLLADOCredential: MD
Location Address11234 ANDERSON STLoma Linda, CA 92354-2804
Mailing Address11234 Anderson StLoma Linda, CA 92354-2804 · (909) 558-4074
Phone(909) 558-4074
Sole ProprietorNo
Medical School CMSCalifornia University Of Science And MedicineGraduated 2023
Enumeration DateApril 5, 2023
Last NPPES UpdateApril 13, 20252 updates tracked since enumeration
NPPES CertifiedApril 13, 2025
✔ NPI 1265127310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A197715
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.
11234 ANDERSON ST, Loma Linda, CA 92354
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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)

Dr. Kenneth Tonic Collado Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557826583
PECOS Enrollment IDI20260721002287
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 Kenneth Collado reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

San Bernardino County
1.5 mi
Public Health or Welfare
451 E VANDERBILT WAY
San Bernardino, CA 92408
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: County Of San Bernardino
  • 233 clinicians in this Medicare group
NPI 1497925366 (909) 387-9146

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 92354 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.

ELYSE LAUREN GURAN
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4015
SAMUEL COOK CHAMBI
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4015
LUIS MIGUEL OLMEDO TEMICH MD
General Practice
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2822
HYUKJE SUNG MD, MA
Preventive Medicine (Occupational Medicine)
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6491
JEFFERSON BRANCH RICHARDS
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4074
JOSEPH UNIS M.D.
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-8311
MARINA LIU M.D.
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4475
JOSEPH M WILKINSON CRNA
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4475

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 Kenneth Collado's NPI number?

The NPI number for Kenneth Collado is 1265127310. It was assigned to this individual provider in the NPPES registry on April 5, 2023.

Where is Kenneth Collado located?

Kenneth Collado practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-4074.

What is Kenneth Collado's specialty?

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

Is Kenneth Collado enrolled in Medicare?

Yes. Kenneth Collado is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenneth Collado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Collado reassigns Medicare benefits to San Bernardino County (San Bernardino, 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 Kenneth Collado'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 Kenneth Collado was last updated on April 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.