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

NPI Status: Active since December 11, 2017

Contact Information

11201 BENTON ST
LOMA LINDA, CA
ZIP 92357
Phone: (909) 825-7084

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  • Individual
  • Male
  • Psychiatry & Neurology
  • Epilepsy
  • PECOS Enrolled

About TREVOR RAFFERTY

This page provides the complete NPI Profile along with additional information for Trevor Rafferty, a provider established in Loma Linda, California with a medical specialization in Psychiatry & Neurology, focusing in epilepsy . The healthcare provider is registered in the NPI registry with number 1750896858 assigned on December 2017. The practitioner's primary taxonomy code is 2084E0001X with license number A180392 (CA). The provider is registered as an individual and his NPI record was last updated June 2025.

NPI
1750896858
Provider Name
TREVOR ROBERT RAFFERTY MD
Gender
Male
Entity Type
Individual
Location Address
11201 BENTON ST LOMA LINDA, CA 92357
Location Phone
(909) 825-7084
Mailing Address
16278 PABLO CREEK LN FONTANA, CA 92336
Is Sole Proprietor?
No
Enumeration Date
12-11-2017
Last Update Date
06-27-2025
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Location Map

Secondary Locations

  • 11175 Campus St
    Loma Linda, CA 92350
    (951) 378-9445
  • 751 S Bascom Ave
    San Jose, CA 95128
    (408) 885-5110

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Epilepsy

Taxonomy Code
2084E0001X
Type
Allopathic & Osteopathic Physicians
License No.
A180392
License State
CA
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

Trevor Rafferty is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750896858
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2710016912810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 6 + 9 + 1 + 2 + 8 + 1 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1750896858 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. PHAT NGO MD

Internal Medicine

11201 BENTON ST
LOMA LINDA, CA
ZIP 92357

(909) 825-7084

MS. NANCY R WHITNEY L.C.S.W.

Social Worker

(Clinical)

11201 BENTON ST
LOMA LINDA, CA
ZIP 92357

(909) 825-7084

DR. DONALD GEORGE NESSMAN PHD

Psychologist

(Clinical)

11201 BENTON ST
LOMA LINDA, CA
ZIP 92357

(909) 825-7084

DR. MICHAEL B. MASKIN PH.D.

Psychologist

(Clinical)

11201 BENTON ST
LOMA LINDA, CA
ZIP 92357

(909) 825-7084

MRS. ROSEMARY SULLIVAN MA, OTR/L

Occupational Therapist

11201 BENTON ST
LOMA LINDA, CA
ZIP 92357

(909) 825-7084

MS. DEBORAH R ELLIS RN NP

Nurse Practitioner

(Psychiatric/Mental Health)

11201 BENTON ST
LOMA LINDA, CA
ZIP 92357

(909) 583-6189

DR. SHIRLEY CHO KILIAN PHD

Psychologist

(Clinical)

11201 BENTON ST
LOMA LINDA, CA
ZIP 92357

(909) 825-7084

MRS. VICKI ANN BRADLEY AUD

Audiologist-Hearing Aid Fitter

11201 BENTON ST
LOMA LINDA, CA
ZIP 92357

(909) 825-7084

DR. ROBERT D KIGER DDS

Dentist

(Periodontics)

11201 BENTON ST
DENTAL SERVICE 160, LOMA LINDA VAMC
LOMA LINDA, CA
ZIP 92357

(909) 583-6127

DR. ROGER SCOTT JACOB WENGER PSY.D.

Psychologist

11201 BENTON ST
LOMA LINDA, CA
ZIP 92357

(800) 741-8387

DR. IMDAD - AHMAD M.D

Internal Medicine

11201 BENTON ST
LOMA LINDA, CA
ZIP 92357

(909) 825-7084

DR. LORI RENE WICKER PH.D.

Psychologist

11201 BENTON ST
LOMA LINDA, CA
ZIP 92357

(909) 825-7084

PHILLIP NG PHARM.D.

Pharmacist

11201 BENTON ST
PHARMACY (119)
LOMA LINDA, CA
ZIP 92357

(909) 825-7084

DR. ANN LESLIE STEINER DMD, MS, MPH

Dentist

11201 BENTON ST
DENTAL SERVICE (160)
LOMA LINDA, CA
ZIP 92357

(909) 583-6127

DR. WARREN YOW D.M.D.

Dentist

(Prosthodontics)

11201 BENTON ST
#160
LOMA LINDA, CA
ZIP 92357

(909) 583-6055

DR. JOHN MAURICE BYRNE

Internal Medicine

11201 BENTON ST
LOMA LINDA, CA
ZIP 92357

(909) 583-6004

MR. ROGER MICHAEL GUSTAFSON N.P.

Nurse Practitioner

(Adult Health)

11201 BENTON ST
LOMA LINDA, CA
ZIP 92357

(909) 825-7084

KENNETH A FOWLER D.D.S.

Dentist

(General Practice)

11201 BENTON ST
DENTAL SERVICE
LOMA LINDA, CA
ZIP 92357

(909) 583-6127

SUSAN J KIM M.D.

Radiology

(Diagnostic Radiology)

11201 BENTON ST
605/114
LOMA LINDA, CA
ZIP 92357

(909) 825-7084

DR. JAMES D. ANHOLM M.D.

Internal Medicine

11201 BENTON ST
111P
LOMA LINDA, CA
ZIP 92357

(909) 583-6098

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750896858, enumerated as an "individual" on December 11, 2017.

The provider is located at 11201 BENTON ST LOMA LINDA, CA 92357 and the phone number is (909) 825-7084.

Psychiatry & Neurology with taxonomy code 2084E0001X and a focus in Epilepsy .