BIANCA REBOLLEDO M.D.
NPI 1396277703
Psychiatry & Neurology - Child & Adolescent Psychiatry in Loma Linda, CA

Active since April 03, 2017PECOS Enrolled
11234 ANDERSON ST, LOMA LINDA UNIVERSITY HEALTH PSYCHIATRY, LOMA LINDA, CA 92354(909) 558-9532 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bianca Rebolledo M.d. NPPES

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

BIANCA REBOLLEDO M.D. (NPI 1396277703) is an individual child & adolescent psychiatry provider in Loma Linda, California, licensed in California (A157704) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396277703
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameBIANCA REBOLLEDOCredential: M.D.
Location Address11234 ANDERSON ST, LOMA LINDA UNIVERSITY HEALTH PSYCHIATRYLoma Linda, CA 92354-2804
Mailing Address11234 Anderson St, Gme Office Westerly Suite CLoma Linda, CA 92354-2804
Sole ProprietorNo
Enumeration DateApril 3, 2017
Last NPPES UpdateAugust 18, 2022
NPPES CertifiedAugust 18, 2022
✔ NPI 1396277703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CA · A157704
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License A157704 (CA)
11234 ANDERSON ST, Loma Linda, CA 92354

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bianca Rebolledo 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

2

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

Anatomic Pathology & Clinical Pathology
11234 ANDERSON ST
Loma Linda, CA 92354
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1454 E 2ND ST
San Bernardino, CA 92408
  • Reassigned Medicare billing, California enrollment
  • 455 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.

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 Bianca Rebolledo's NPI number?

The NPI number for Bianca Rebolledo is 1396277703. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Bianca Rebolledo located?

Bianca Rebolledo practices at 11234 Anderson St Loma Linda University Health Psychiatry, Loma Linda, CA 92354. The listed phone number is (909) 558-9532.

What is Bianca Rebolledo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Bianca Rebolledo enrolled in Medicare?

Yes. Bianca Rebolledo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Bianca Rebolledo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bianca Rebolledo reassigns Medicare benefits to 2 organizations: Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA) and Sac Health System (San Bernardino, CA). Each 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 Bianca Rebolledo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bianca Rebolledo was last updated on August 18, 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.