RAFFI MATEVOSIAN PMHNP-BC
NPI 1396698247
Nurse Practitioner - Psychiatric/Mental Health in Victorville, CA
About Raffi Matevosian Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAFFI MATEVOSIAN PMHNP-BC (NPI 1396698247) is an individual psychiatric/mental health provider in Victorville, California, licensed in California (95037574) and active in the NPI registry since February 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Raffi Matevosian Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Raffi Matevosian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Victorville, CA 92395
- Reassigned Medicare billing, California enrollment
- 2,584 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 92395 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 Raffi Matevosian's NPI number?
The NPI number for Raffi Matevosian is 1396698247. It was assigned to this individual provider in the NPPES registry on February 19, 2026.
Where is Raffi Matevosian located?
Raffi Matevosian practices at 13090 3rd Ave, Victorville, CA 92395. The listed phone number is (818) 809-7468.
What is Raffi Matevosian's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Raffi Matevosian enrolled in Medicare?
Yes. Raffi Matevosian is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Raffi Matevosian's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raffi Matevosian reassigns Medicare benefits to Faculty Physicians And Surgeons Of Llusm (Victorville, 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 Raffi Matevosian'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 Raffi Matevosian was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Raffi Matevosian, PMHNP-BC · NPI 1396698247
Psychiatric/Mental Health physician in Victorville, California. Individual provider, active in the CMS NPPES registry since February 19, 2026.
## Identity
- **NPI:** 1396698247 (Entity type: Individual)
- **Enumerated:** February 19, 2026
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95037574 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 13090 3RD AVE, Victorville, CA 92395-9013
- **Phone:** (818) 809-7468
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Faculty Physicians And Surgeons Of Llusm (NPI 1366492191, Victorville, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** February 19, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1396698247) · Data from the CMS NPPES public registry.