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ROUZBEH DARVISHAN
NPI 1295222768
Student in an Organized Health Care Education/Training Program in Fontana, CA

Active since April 19, 2018PECOS EnrolledAccepts Medicare Assignment
17234 VALLEY BLVD., FONTANA, CA 92335(909) 427-5603 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2021, Apr 19, 2018 (2 updates tracked since 2018).

About Rouzbeh Darvishan NPPES

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

ROUZBEH DARVISHAN (NPI 1295222768) is an individual student in an organized health care education/training program in Fontana, California and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1295222768
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameROUZBEH DARVISHAN
Location Address17234 VALLEY BLVD.Fontana, CA 92335
Mailing Address17234 Valley Blvd.Fontana, CA 92335
Phone(909) 427-5603
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 19, 2018
Last NPPES UpdateDecember 8, 20212 updates tracked since enumeration
✔ NPI 1295222768 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.
17234 VALLEY BLVD., Fontana, CA 92335
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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

Rouzbeh Darvishan 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 ID9739505652
PECOS Enrollment IDI20211006002156
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 15

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

TERRIN ARCEO DO
Psychiatry & Neurology (Psychiatry)
17234 VALLEY BLVD., BUILDING A
FONTANA, CA 92335
San Bernardino County (909) 427-5679
JOY PHAN
Family Medicine
17234 VALLEY BLVD., CENTER FOR MEDICAL EDUCATION
FONTANA, CA 92335
San Bernardino County (909) 427-5085
LAMISA FARHAT HASAN MD
Student in an Organized Health Care Education/Training Program
17234 VALLEY BLVD.
FONTANA, CA 92335
San Bernardino County (833) 574-2273
ROBERT LIU
Internal Medicine
17234 VALLEY BLVD.
FONTANA, CA 92335
San Bernardino County (909) 427-5000
MARK MOUNIR HALIM
Psychiatry & Neurology (Child & Adolescent Psychiatry)
17234 VALLEY BLVD., BLDG. A
FONTANA, CA 92335
San Bernardino County (661) 998-0424
MALINI NADADUR M.D.
Student in an Organized Health Care Education/Training Program
17234 VALLEY BLVD.
FONTANA, CA 92335
San Bernardino County (909) 427-5000
AUSTIN SCOTT ANDERSON MD
Student in an Organized Health Care Education/Training Program
17234 VALLEY BLVD.
FONTANA, CA 92335
San Bernardino County (909) 427-5000
MATTHEW ALLEN
Psychiatry & Neurology (Psychiatry)
17234 VALLEY BLVD., BLDG. A
FONTANA, CA 92335
San Bernardino County (402) 450-9429

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 Rouzbeh Darvishan's NPI number?

The NPI number for Rouzbeh Darvishan is 1295222768. It was assigned to this individual provider in the NPPES registry on April 19, 2018.

Where is Rouzbeh Darvishan located?

Rouzbeh Darvishan practices at 17234 Valley Blvd., Fontana, CA 92335. The listed phone number is (909) 427-5603.

What is Rouzbeh Darvishan's specialty?

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

Is Rouzbeh Darvishan enrolled in Medicare?

Yes. Rouzbeh Darvishan 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 Rouzbeh Darvishan was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.