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DR. ANJU PUNCHAMANNIL D.O.
NPI 1396277034
Family Medicine in San Bernardino, CA

Active since March 31, 2017PECOS EnrolledAccepts Medicare Assignment
570 S MOUNT VERNON AVE STE G, SAN BERNARDINO, CA 92410(909) 884-6700 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2025, Oct 16, 2018, Mar 31, 2017 (3 updates tracked since 2017).

About Dr. Anju Punchamannil D.o. NPPES

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

DR. ANJU PUNCHAMANNIL D.O. (NPI 1396277034) is an individual family medicine provider in San Bernardino, California, licensed in California (20A24395) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2016).

NPPES Registry Identity

NPI1396277034
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANJU PUNCHAMANNILCredential: D.O.
Location Address570 S MOUNT VERNON AVE STE GSan Bernardino, CA 92410-2737
Mailing Address570 S Mount Vernon Ave Ste GSan Bernardino, CA 92410-2737 · (909) 884-6700
Phone(909) 884-6700
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2016
Enumeration DateMarch 31, 2017
Last NPPES UpdateSeptember 15, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
✔ NPI 1396277034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A24395
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
570 S MOUNT VERNON AVE STE G, San Bernardino, CA 92410
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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. Anju Punchamannil D.o. 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 ID6901302074
PECOS Enrollment IDI20250929003508
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 92410 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 2

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

BOHYE SHELLY HWANG-BETAT MD
Pediatrics
570 S MOUNT VERNON AVE STE G
SAN BERNARDINO, CA 92410
San Bernardino County (423) 243-4869
JESSICA MARLENE CORRAL NP
Nurse Practitioner (Obstetrics & Gynecology)
570 S MOUNT VERNON AVE STE G
SAN BERNARDINO, CA 92410
San Bernardino County (909) 884-6700

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 Anju Punchamannil's NPI number?

The NPI number for Anju Punchamannil is 1396277034. It was assigned to this individual provider in the NPPES registry on March 31, 2017.

Where is Anju Punchamannil located?

Anju Punchamannil practices at 570 S Mount Vernon Ave Ste G, San Bernardino, CA 92410. The listed phone number is (909) 884-6700.

What is Anju Punchamannil's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Anju Punchamannil enrolled in Medicare?

Yes. Anju Punchamannil 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 Anju Punchamannil was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.