CAJON MEDICAL GROUP PC
NPI 1568052496
Internal Medicine in San Bernardino, CA
About Cajon Medical Group Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAJON MEDICAL GROUP PC (NPI 1568052496) is a healthcare organization registered as an internal medicine in San Bernardino, California and active in the NPI registry since January 2021. The organization lists Nandita Puchakayala, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cajon Medical Group Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
33Medicare enrollment records show 33 clinicians reassign Medicare billing to Cajon Medical Group PC, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 33Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Cajon Medical Group PC's NPI number?
The NPI number for Cajon Medical Group PC is 1568052496. It was assigned to this organization in the NPPES registry on January 25, 2021.
Where is Cajon Medical Group PC located?
Cajon Medical Group PC is located at 1738 N Waterman Ave Ste 7&8, San Bernardino, CA 92404. The listed phone number is (909) 882-1269.
What is Cajon Medical Group PC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Cajon Medical Group PC enrolled in Medicare?
Yes. Cajon Medical Group PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cajon Medical Group PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 33 clinicians in 4 Medicare specialties reassign their Medicare billing to Cajon Medical Group PC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (16), Internal Medicine (10) and Family Practice (4). Of these, 10 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Cajon Medical Group PC was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Cajon Medical Group Pc · NPI 1568052496
Internal Medicine organization in San Bernardino, California. Organization record, active in the CMS NPPES registry since January 25, 2021.
## Identity
- **NPI:** 1568052496 (Entity type: Organization)
- **Enumerated:** January 25, 2021
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Nandita Puchakayala, CEO
## Practice location
- **Address:** 1738 N WATERMAN AVE STE 7&8, San Bernardino, CA 92404-5131
- **Phone:** (909) 882-1269 · **Fax:** (909) 882-5699
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 33 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (16), Internal Medicine (10), Family Practice (4); 10 practice within 10 miles; [full list](https://npiprofile.com/npi/1568052496/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 25, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1568052496) · Data from the CMS NPPES public registry.