NELLIE RISING SGAMBELLURI M.D.
NPI 1972775971
Student in an Organized Health Care Education/Training Program in Loma Linda, CA

Active since March 31, 2008PECOS EnrolledAccepts Medicare Assignment
11234 ANDERSON ST, HOUSE STAFF OFFICE CP 21005, LOMA LINDA, CA 92354(909) 558-8131 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nellie Rising Sgambelluri M.d. NPPES

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

NELLIE RISING SGAMBELLURI M.D. (NPI 1972775971) is an individual student in an organized health care education/training program in Loma Linda, California and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS and is a graduate of University Of Hawaii John A. Burns School Of Medicine (2006).

NPPES Registry Identity

NPI1972775971
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNELLIE RISING SGAMBELLURICredential: M.D.
Location Address11234 ANDERSON ST, HOUSE STAFF OFFICE CP 21005Loma Linda, CA 92354-2804
Mailing Address124 S Oak AvePasadena, CA 91107-4012 · (808) 372-0532
Sole ProprietorNo
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 2006
Enumeration DateMarch 31, 2008
Last NPPES UpdateDecember 3, 2021
✔ NPI 1972775971 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.
11234 ANDERSON ST, Loma Linda, CA 92354

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

Nellie Rising Sgambelluri M.d. 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 ID8325180292
PECOS Enrollment IDI20100115000466
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 Nellie Sgambelluri 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 20

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

Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
General Practice
11234 ANDERSON ST
LOMA LINDA, CA 92354
Preventive Medicine (Occupational Medicine)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92354
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST
LOMA LINDA, CA 92354

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 Nellie Sgambelluri's NPI number?

The NPI number for Nellie Sgambelluri is 1972775971. It was assigned to this individual provider in the NPPES registry on March 31, 2008.

Where is Nellie Sgambelluri located?

Nellie Sgambelluri practices at 11234 Anderson St House Staff Office Cp 21005, Loma Linda, CA 92354. The listed phone number is (909) 558-8131.

What is Nellie Sgambelluri's specialty?

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

Is Nellie Sgambelluri enrolled in Medicare?

Yes. Nellie Sgambelluri 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 Nellie Sgambelluri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nellie Sgambelluri 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 Nellie Sgambelluri'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 Nellie Sgambelluri was last updated on December 3, 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.