RAINER GUERRA BANSUAN M.D.
NPI 1336258037
Family Medicine - Adolescent Medicine in Patton, CA

Q: What is Rainer Bansuan's NPI number?

The NPI number for Rainer Bansuan is 1336258037. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Q: What is Rainer Bansuan's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adolescent Medicine, with taxonomy code 207QA0000X.

Q: When was this NPI record last updated?

The NPPES record for Rainer Bansuan was last updated on April 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 29, 2006PECOS Enrolled

3102 E HIGHLAND AVE, PATTON, CA 92369(909) 815-0965 Get Directions Write a Review

NPPES record last updated: April 18, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 18, 2021, Dec 2, 2015, Nov 22, 2015 (3 updates tracked since 2015).

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About Rainer Guerra Bansuan M.d. NPPES

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

RAINER GUERRA BANSUAN M.D. (NPI 1336258037) is an individual adolescent medicine provider in Patton, California, licensed in California (207QA51021) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336258037

Entity TypeIndividualMale

Primary Taxonomy207QA0000X

Provider Legal NameRAINER GUERRA BANSUANCredential: M.D.

Location Address3102 E HIGHLAND AVEPatton, CA 92369-7813

Mailing Address17060 Estoril StChino Hills, CA 91709-4105 · (909) 815-0965

Phone(909) 815-0965

Sole ProprietorYes

Enumeration DateAugust 29, 2006

Last NPPES UpdateApril 18, 20213 updates tracked since enumeration

NPPES CertifiedApril 18, 2021

✔ NPI 1336258037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0000X

License✔ Licensed in CA · 207QA51021

Definition

A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

3102 E HIGHLAND AVE, Patton, CA 92369

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Other Identifiers 1

Medicaid00A510212CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rainer Guerra Bansuan M.d. 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.

Medicare Billing Reassignments

Medicare enrollment records show Rainer Bansuan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Department Of State Hospitals

Same address

Psychiatric Hospital

3102 E HIGHLAND AVE
Patton, CA 92369

Reassigned Medicare billing, California enrollment
755 clinicians in this Medicare group

NPI 1043249204 (909) 425-7552

State Of California - Department Of Developmental Services

76 mi

Intermediate Care Facility, Intellectual Disabilities

69696 RAMON RD
Cathedral City, CA 92234

Reassigned Medicare billing, California enrollment
69 clinicians in this Medicare group

NPI 1730130097 (760) 770-6200

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 92369 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

$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.

MICHAEL DALE DEWIT LCSW

Social Worker (Clinical)