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DR. JONATHAN AVALOS M.D.
NPI 1386050805
Family Medicine - Addiction Medicine in Rialto, CA

Active since July 03, 2014PECOS EnrolledAccepts Medicare Assignment
850 E FOOTHILL BLVD DEPT OF, RIALTO, CA 92376(909) 601-4220 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 14, 2022, Aug 29, 2018 (2 updates tracked since 2018).

About Dr. Jonathan Avalos M.d. NPPES

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

DR. JONATHAN AVALOS M.D. (NPI 1386050805) is an individual addiction medicine provider in Rialto, California, licensed in California (A139612) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1386050805
Entity TypeIndividualMale
Primary Taxonomy207QA0401X
Provider Legal NameDR. JONATHAN AVALOSCredential: M.D.
Location Address850 E FOOTHILL BLVD DEPT OFRialto, CA 92376-5230
Mailing Address303 E Vanderbilt WaySan Bernardino, CA 92415-0026 · (909) 601-4220
Phone(909) 601-4220
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 3, 2014
Last NPPES UpdateJanuary 14, 20222 updates tracked since enumeration
NPPES CertifiedApril 27, 2021
✔ NPI 1386050805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in CA · A139612
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
850 E FOOTHILL BLVD DEPT OF, Rialto, CA 92376
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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

Dr. Jonathan Avalos M.d. 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 ID4183024177
PECOS Enrollment IDI20210614000402
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92376 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

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

RAFIK BAHGAT SALAMA SALEH MD, MPH
Preventive Medicine (Addiction Medicine)
850 E FOOTHILL BLVD DEPT OF
RIALTO, CA 92376
San Bernardino County (909) 421-9495

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 Jonathan Avalos's NPI number?

The NPI number for Jonathan Avalos is 1386050805. It was assigned to this individual provider in the NPPES registry on July 3, 2014.

Where is Jonathan Avalos located?

Jonathan Avalos practices at 850 E Foothill Blvd Dept Of, Rialto, CA 92376. The listed phone number is (909) 601-4220.

What is Jonathan Avalos's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Jonathan Avalos enrolled in Medicare?

Yes. Jonathan Avalos 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 Jonathan Avalos was last updated on January 14, 2022. 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.