AUSTIN SCOTT ANDERSON MD
NPI 1669969044
Student in an Organized Health Care Education/Training Program in Fontana, CA

Active since April 20, 2018PECOS EnrolledAccepts Medicare Assignment
17234 VALLEY BLVD., FONTANA, CA 92335(909) 427-5000 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 6, 2021, Apr 20, 2018 (2 updates tracked since 2018).

About Austin Scott Anderson Md NPPES

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

AUSTIN SCOTT ANDERSON MD (NPI 1669969044) is an individual student in an organized health care education/training program in Fontana, California and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1669969044
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameAUSTIN SCOTT ANDERSONCredential: MD
Location Address17234 VALLEY BLVD.Fontana, CA 92335
Mailing Address17234 Valley Blvd.Fontana, CA 92335
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 20, 2018
Last NPPES UpdateDecember 6, 20212 updates tracked since enumeration
✔ NPI 1669969044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
17234 VALLEY BLVD., Fontana, CA 92335

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

Austin Scott Anderson Md 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 ID5890128144
PECOS Enrollment IDI20200518000149
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 Reassignment

Medicare enrollment records show Austin Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
9961 SIERRA AVE
Fontana, CA 92335
  • Reassigned Medicare billing, California enrollment
  • 5,228 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 15

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

Psychiatry & Neurology (Psychiatry)
17234 VALLEY BLVD., BUILDING A
FONTANA, CA 92335
Family Medicine
17234 VALLEY BLVD., CENTER FOR MEDICAL EDUCATION
FONTANA, CA 92335
Student in an Organized Health Care Education/Training Program
17234 VALLEY BLVD.
FONTANA, CA 92335
Student in an Organized Health Care Education/Training Program
17234 VALLEY BLVD.
FONTANA, CA 92335
Internal Medicine
17234 VALLEY BLVD.
FONTANA, CA 92335
Psychiatry & Neurology (Child & Adolescent Psychiatry)
17234 VALLEY BLVD., BLDG. A
FONTANA, CA 92335
Student in an Organized Health Care Education/Training Program
17234 VALLEY BLVD.
FONTANA, CA 92335
Psychiatry & Neurology (Psychiatry)
17234 VALLEY BLVD., BLDG. A
FONTANA, CA 92335

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 Austin Anderson's NPI number?

The NPI number for Austin Anderson is 1669969044. It was assigned to this individual provider in the NPPES registry on April 20, 2018.

Where is Austin Anderson located?

Austin Anderson practices at 17234 Valley Blvd., Fontana, CA 92335. The listed phone number is (909) 427-5000.

What is Austin Anderson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Austin Anderson enrolled in Medicare?

Yes. Austin Anderson 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 Austin Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Austin Anderson reassigns Medicare benefits to Southern California Permanente Medical Group (Fontana, 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 Austin Anderson'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 Austin Anderson was last updated on December 6, 2021. 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.