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KAREN BATHAN MD
NPI 1962107276
Student in an Organized Health Care Education/Training Program in San Bernardino, CA

Active since April 04, 2023PECOS Enrolled
2509 SHADY GLEN LN, SAN BERNARDINO, CA 92408(909) 292-8951 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 5, 2026, Apr 4, 2023 (2 updates tracked since 2023).

About Karen Bathan Md NPPES

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

KAREN BATHAN MD (NPI 1962107276) is an individual student in an organized health care education/training program in San Bernardino, California and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2023).

NPPES Registry Identity

NPI1962107276
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKAREN BATHANCredential: MD
Location Address2509 SHADY GLEN LNSan Bernardino, CA 92408-4154
Mailing Address700 Lawrence ExpySanta Clara, CA 95051-5173 · (909) 292-8951
Phone(909) 292-8951
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2023
Enumeration DateApril 4, 2023
Last NPPES UpdateJune 5, 20262 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1962107276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
2509 SHADY GLEN LN, San Bernardino, CA 92408
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen Bathan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567909179
PECOS Enrollment IDI20260701003836
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

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

LAUREN BATHAN
Student in an Organized Health Care Education/Training Program
2509 SHADY GLEN LN
SAN BERNARDINO, CA 92408
San Bernardino County (909) 936-7820

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 Karen Bathan's NPI number?

The NPI number for Karen Bathan is 1962107276. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is Karen Bathan located?

Karen Bathan practices at 2509 Shady Glen Ln, San Bernardino, CA 92408. The listed phone number is (909) 292-8951.

What is Karen Bathan's specialty?

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

Is Karen Bathan enrolled in Medicare?

Yes. Karen Bathan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Karen Bathan was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.