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TREVIN TAKESHI NISHIBUN MD
NPI 1982231676
Anesthesiology in Rancho Cucamonga, CA

Active since March 24, 2020PECOS EnrolledAccepts Medicare Assignment
13250 FOOTHILL BLVD UNIT 2122, RANCHO CUCAMONGA, CA 91739(808) 391-9004 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 28, 2024, Mar 24, 2020 (2 updates tracked since 2020).

About Trevin Takeshi Nishibun Md NPPES

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

TREVIN TAKESHI NISHIBUN MD (NPI 1982231676) is an individual anesthesiology provider in Rancho Cucamonga, California, licensed in California (A186601) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1982231676
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameTREVIN TAKESHI NISHIBUNCredential: MD
Location Address13250 FOOTHILL BLVD UNIT 2122Rancho Cucamonga, CA 91739-9410
Mailing Address13250 Foothill Blvd Unit 2122Rancho Cucamonga, CA 91739-9410
Phone(808) 391-9004
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 24, 2020
Last NPPES UpdateJune 28, 20242 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
✔ NPI 1982231676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · A186601
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
13250 FOOTHILL BLVD UNIT 2122, Rancho Cucamonga, CA 91739
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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

Trevin Takeshi Nishibun 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 ID1557803582
PECOS Enrollment IDI20240606000259
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 Trevin Nishibun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Allied Anesthesia Medical Group Inc
  • Reassigned Medicare billing, California enrollment
  • 420 clinicians in this Medicare group
No phone listed

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Trevin Nishibun's NPI number?

The NPI number for Trevin Nishibun is 1982231676. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Trevin Nishibun located?

Trevin Nishibun practices at 13250 Foothill Blvd Unit 2122, Rancho Cucamonga, CA 91739. The listed phone number is (808) 391-9004.

What is Trevin Nishibun's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Trevin Nishibun enrolled in Medicare?

Yes. Trevin Nishibun 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 Trevin Nishibun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Trevin Nishibun reassigns Medicare benefits to Allied Anesthesia Medical Group Inc (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 Trevin Nishibun'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 Trevin Nishibun was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.