DR. BRIAN THOMAS HAVEN DPM
NPI 1609356591
Podiatrist - Primary Podiatric Medicine in Grand Terrace, CA
About Dr. Brian Thomas Haven Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BRIAN THOMAS HAVEN DPM (NPI 1609356591) is an individual primary podiatric medicine provider in Grand Terrace, California, licensed in California (E6017) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Podiatric Medicine (2018).
NPPES Registry Identity
Specialties & Licenses 2
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
Dr. Brian Thomas Haven Dpm 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.
Medicare Billing Reassignment
Medicare enrollment records show Brian Haven reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Terrace, CA 92313
- Reassigned Medicare billing, Texas enrollment
- 101 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.
GRAND TERRACE, CA 92313
GRAND TERRACE, CA 92313
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 Brian Haven's NPI number?
The NPI number for Brian Haven is 1609356591. It was assigned to this individual provider in the NPPES registry on August 20, 2018.
Where is Brian Haven located?
Brian Haven practices at 11980 Mount Vernon Ave, Grand Terrace, CA 92313. The listed phone number is (909) 863-1097.
What is Brian Haven's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.
Is Brian Haven enrolled in Medicare?
Yes. Brian Haven 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.
Which organization bills Medicare for Brian Haven's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brian Haven reassigns Medicare benefits to Riverside-San Bernardino County Indian Health, Inc. (Grand Terrace, 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 Brian Haven'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 Brian Haven was last updated on January 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Brian Thomas Haven, DPM · NPI 1609356591
Primary Podiatric Medicine provider in Grand Terrace, California. Individual provider, active in the CMS NPPES registry since August 20, 2018.
## Identity
- **NPI:** 1609356591 (Entity type: Individual)
- **Enumerated:** August 20, 2018
- **Primary specialty:** Podiatrist - Primary Podiatric Medicine · taxonomy 213EP1101X
- **State license:** E6017 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11980 MOUNT VERNON AVE, Grand Terrace, CA 92313-5172
- **Phone:** (909) 863-1097
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Riverside-San Bernardino County Indian Health, Inc. (NPI 1174676670, Grand Terrace, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Temple University School Of Podiatric Medicine, class of 2018
## Record status
- **NPPES last updated:** January 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1609356591) · Data from the CMS NPPES public registry.