REUBEN SAN JUAN PA-C
NPI 1861895781
Physician Assistant - Medical in Fontana, CA

Active since October 06, 2014PECOS EnrolledAccepts Medicare Assignment
7774 CHERRY AVE, FONTANA, CA 92336(909) 355-1296 Get Directions Write a Review

NPPES record last updated: November 24, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Reuben San Juan Pa-c NPPES

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

REUBEN SAN JUAN PA-C (NPI 1861895781) is an individual medical provider in Fontana, California, licensed in California (52028) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1861895781
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameREUBEN SAN JUANCredential: PA-C
Location Address7774 CHERRY AVEFontana, CA 92336-4014
Mailing Address7774 Cherry AveFontana, CA 92336-4014 · (909) 355-1296
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 6, 2014
Last NPPES UpdateNovember 24, 2014
NPI 1861895781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · 52028
7774 CHERRY AVE, Fontana, CA 92336

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Reuben San Juan Pa-c 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 ID446575641
PECOS Enrollment IDI20150211000014
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.

Other Providers at the Same Location NPPES 3

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

Preventive Medicine (Occupational Medicine)
7774 CHERRY AVE
FONTANA, CA 92336
Internal Medicine
7774 CHERRY AVE
FONTANA, CA 92336
Chiropractor
7774 CHERRY AVE
FONTANA, CA 92336

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 Reuben San Juan's NPI number?

The NPI number for Reuben San Juan is 1861895781. It was assigned to this individual provider in the NPPES registry on October 6, 2014.

Where is Reuben San Juan located?

Reuben San Juan practices at 7774 Cherry Ave, Fontana, CA 92336. The listed phone number is (909) 355-1296.

What is Reuben San Juan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Reuben San Juan enrolled in Medicare?

Yes. Reuben San Juan 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.

When was this NPI record last updated?

The NPPES record for Reuben San Juan was last updated on November 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.