MONA RAFATZADEH OD
NPI 1366331845
Optometrist in Fontana, CA
About Mona Rafatzadeh Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MONA RAFATZADEH OD (NPI 1366331845) is an individual optometrist in Fontana, California, licensed in California (35961) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Western University Of Health Sciences College Of Dental Med (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mona Rafatzadeh Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mona Rafatzadeh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fontana, CA 92335
- Reassigned Medicare billing, California enrollment
- 9 clinicians in this Medicare group
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 92335 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mona Rafatzadeh's NPI number?
The NPI number for Mona Rafatzadeh is 1366331845. It was assigned to this individual provider in the NPPES registry on June 30, 2025.
Where is Mona Rafatzadeh located?
Mona Rafatzadeh practices at 8381 Juniper Ave # 100, Fontana, CA 92335. The listed phone number is (909) 429-2020.
What is Mona Rafatzadeh's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Mona Rafatzadeh enrolled in Medicare?
Yes. Mona Rafatzadeh is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mona Rafatzadeh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mona Rafatzadeh reassigns Medicare benefits to Fontana Optometric Group, Inc. (Fontana, 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 Mona Rafatzadeh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mona Rafatzadeh accept?
Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Mona Rafatzadeh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mona Rafatzadeh was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Mona Rafatzadeh, OD · NPI 1366331845
Optometrist provider in Fontana, California. Individual provider, active in the CMS NPPES registry since June 30, 2025.
## Identity
- **NPI:** 1366331845 (Entity type: Individual)
- **Enumerated:** June 30, 2025
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 35961 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 8381 JUNIPER AVE # 100, Fontana, CA 92335-3431
- **Phone:** (909) 429-2020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Fontana Optometric Group, Inc. (NPI 1972688513, Fontana, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Western University Of Health Sciences College Of Dental Med, class of 2024
## Record status
- **NPPES last updated:** June 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1366331845) · Data from the CMS NPPES public registry.