KEITH NOONAN D.O.
NPI 1508271982
Psychiatry & Neurology - Psychiatry in San Bernardino, CA

Q: What is Keith Noonan's NPI number?

The NPI number for Keith Noonan is 1508271982. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Q: What is Keith Noonan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Keith Noonan was last updated on July 21, 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.

Active since June 24, 2014PECOS EnrolledAccepts Medicare Assignment

303 E VANDERBILT WAY, SAN BERNARDINO, CA 92415(909) 347-1300(909) 347-1302 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 10, 2025, Jun 20, 2018 (2 updates tracked since 2018).

On this page

About Keith Noonan D.o. NPPES

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

KEITH NOONAN D.O. (NPI 1508271982) is an individual psychiatry provider in San Bernardino, California, licensed in California (20A14757) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, maintains 8 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1508271982

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameKEITH NOONANCredential: D.O.

Location Address303 E VANDERBILT WAYSan Bernardino, CA 92415

Mailing Address303 E Vanderbilt WaySan Bernardino, CA 92415-0026 · (909) 388-0810 · Fax (909) 890-0281

Phone(909) 347-1300

Fax(909) 347-1302

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateJune 24, 2014

Last NPPES UpdateJuly 21, 20252 updates tracked since enumeration

NPPES CertifiedJuly 21, 2025

✔ NPI 1508271982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in CA · 20A14757✔ Licensed in MO · 2014020579

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

303 E VANDERBILT WAY, San Bernardino, CA 92415

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Secondary Practice Locations 8

Location 1932 E 34th StJoplin, MO 64804-3932 · Phone (417) 347-7600 · Fax (417) 347-9810

Location 218818 US Highway 18Apple Valley, CA 92307-2323 · Phone (760) 995-8800

Location 317053 Foothill BlvdFontana, CA 92335-3574 · Phone (909) 347-1300

Location 41841 E Main StBarstow, CA 92311-3234 · Phone (760) 255-5700

Location 512188 Hesperia RdVictorville, CA 92395-5822 · Phone (760) 477-2199

Location 6820 E Gilbert StSan Bernardino, CA 92415-0928 · Phone (909) 387-7200

Location 72940 Inland Empire BlvdOntario, CA 91764-4898 · Phone (909) 458-1350

Location 8850 E Foothill BlvdRialto, CA 92376-5230 · Phone (909) 421-9301

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Keith Noonan 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 ID8325472939

PECOS Enrollment IDI20200107000431

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

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

County Of San Bernardino

Same address

Mental Health (Including Community Mental Health Center)

303 E VANDERBILT WAY
San Bernardino, CA 92415

Reassigned Medicare billing, California enrollment
233 clinicians in this Medicare group

NPI 1164467023 (909) 388-0801

Cep America - Psychiatry PC

4.4 mi

Psychiatry

400 N PEPPER AVE
Colton, CA 92324

Reassigned Medicare billing, California enrollment
208 clinicians in this Medicare group

NPI 1306408000 (909) 580-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

64 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92415 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

$179.42 typical visit price

range $59.60 – $179.42

Typical copayment $44.85 (range $14.90 – $44.85)

Most-billed visit code 99205

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

Most-billed visit code 99213

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 20

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

ANTOINETTE AZAR M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)