TREVOR ROBERT RAFFERTY MD
NPI 1750896858
Psychiatry & Neurology - Epilepsy in Loma Linda, CA

Active since December 11, 2017PECOS EnrolledAccepts Medicare Assignment
11201 BENTON ST, LOMA LINDA, CA 92357(909) 825-7084 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 27, 2025, Mar 4, 2025, Dec 11, 2017 (3 updates tracked since 2017).

About Trevor Robert Rafferty Md NPPES

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

TREVOR ROBERT RAFFERTY MD (NPI 1750896858) is an individual epilepsy provider in Loma Linda, California, licensed in California (A180392) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Loma Linda University School Of Medicine (2019).

NPPES Registry Identity

NPI1750896858
Entity TypeIndividualMale
Primary Taxonomy2084E0001X
Provider Legal NameTREVOR ROBERT RAFFERTYCredential: MD
Location Address11201 BENTON STLoma Linda, CA 92357-2604
Mailing Address16278 Pablo Creek LnFontana, CA 92336-5826
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2019
Enumeration DateDecember 11, 2017
Last NPPES UpdateJune 27, 20253 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
✔ NPI 1750896858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · EpilepsyAllopathic & Osteopathic Physicians
Taxonomy Code2084E0001X
License✔ Licensed in CA · A180392
Definition
Epilepsy is a subspecialty of neurology focused on the diagnosis and treatment of patients with epilepsy, including new-onset, medically refractory epilepsy, psychogenic nonepileptic seizures, and epilepsy in special populations (the elderly, women, patients with co-morbidities). Epilepsy is a multidisciplinary field that provides comprehensive care of the patient.
11201 BENTON ST, Loma Linda, CA 92357

Secondary Practice Locations 2

Location 111175 Campus StLoma Linda, CA 92350-1700 · Phone (951) 378-9445
Location 2751 S Bascom AveSan Jose, CA 95128-2604 · Phone (408) 885-5110

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

Trevor Robert Rafferty 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 ID5496267668
PECOS Enrollment IDI20250714003856
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 Trevor Rafferty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
441 N LAKEVIEW AVE
Anaheim, CA 92807
  • Reassigned Medicare billing, California enrollment
  • 13,921 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.

Radiology (Diagnostic Radiology)
11201 BENTON ST, VA LOMA LINDA HEALTHCARE SYSTEM - DEPT OF RADIOLOGY
LOMA LINDA, CA 92357
Social Worker (Clinical)
11201 BENTON ST
LOMA LINDA, CA 92357
Internal Medicine
11201 BENTON ST
LOMA LINDA, CA 92357
Respiratory Therapist, Registered (Pulmonary Diagnostics)
11201 BENTON ST
LOMA LINDA, CA 92357
Counselor (Mental Health)
11201 BENTON ST
LOMA LINDA, CA 92357
Psychologist (Clinical)
11201 BENTON ST
LOMA LINDA, CA 92357
Nurse Practitioner (Family)
11201 BENTON ST
LOMA LINDA, CA 92357
Registered Nurse (Medical-Surgical)
11201 BENTON ST
LOMA LINDA, CA 92357

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 Trevor Rafferty's NPI number?

The NPI number for Trevor Rafferty is 1750896858. It was assigned to this individual provider in the NPPES registry on December 11, 2017.

Where is Trevor Rafferty located?

Trevor Rafferty practices at 11201 Benton St, Loma Linda, CA 92357. The listed phone number is (909) 825-7084.

What is Trevor Rafferty's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Epilepsy, with taxonomy code 2084E0001X.

Is Trevor Rafferty enrolled in Medicare?

Yes. Trevor Rafferty 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 Trevor Rafferty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Trevor Rafferty reassigns Medicare benefits to Southern California Permanente Medical Group (Anaheim, 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 Trevor Rafferty'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 Trevor Rafferty was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.