DR. IMAD AWAN MD, MMSC
NPI 1356920631
Student in an Organized Health Care Education/Training Program in Loma Linda, CA

Active since April 05, 2021PECOS Enrolled
11234 ANDERSON ST, LOMA LINDA, CA 92354(909) 558-4074 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Imad Awan Md, Mmsc NPPES

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

DR. IMAD AWAN MD, MMSC (NPI 1356920631) is an individual student in an organized health care education/training program in Loma Linda, California and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356920631
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. IMAD AWANCredential: MD, MMSC
Location Address11234 ANDERSON STLoma Linda, CA 92354-2804
Mailing Address11234 Anderson Street, Gme Office Westerly Suite CLoma Linda, CA 92354-2804 · (909) 558-4074
Sole ProprietorNo
Enumeration DateApril 5, 2021
NPPES CertifiedApril 5, 2021
NPI 1356920631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
11234 ANDERSON ST, Loma Linda, CA 92354

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Imad Awan Md, Mmsc 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.

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.

Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
General Practice
11234 ANDERSON ST
LOMA LINDA, CA 92354
Preventive Medicine (Occupational Medicine)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92354
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST
LOMA LINDA, CA 92354

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 Imad Awan's NPI number?

The NPI number for Imad Awan is 1356920631. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Imad Awan located?

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

What is Imad Awan's specialty?

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

Is Imad Awan enrolled in Medicare?

Yes. Imad Awan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Imad Awan was last updated on April 5, 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.