Mr Amit Devaraj, NP in Loma Linda, CA - Medicare Nurse Practitioner

Mr Amit Devaraj, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Loma Linda, California. His current practice location is 25455 Barton Rd Ste 204b, Loma Linda, California. You can reach out to his office (for appointments etc.) via phone at (909) 558-6600.

Mr Amit Devaraj is licensed to practice in California (license number 95027439) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1346021755.

Contact Information

	Mr Amit Devaraj, NP
	25455 Barton Rd Ste 204b, Loma Linda, CA 92354-3130
	(909) 558-6600
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Amit Devaraj
Gender	Male
Speciality	Nurse Practitioner - Adult Health
Location	25455 Barton Rd Ste 204b, Loma Linda, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346021755
Provider Enumeration Date: 10/11/2023
Last Update Date: 03/05/2025

Medicare PECOS Information:

PECOS PAC ID: 9931542636
Enrollment ID: I20240209001735

Medical Identifiers

Medical identifiers for Mr Amit Devaraj such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346021755	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LC1500X	Nurse Practitioner - Community Health	95027439 (California)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	95027439 (California)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	95027439 (California)	Secondary
363LX0106X	Nurse Practitioner - Occupational Health	95027439 (California)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	95027439 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Amit Devaraj allows following entities to bill medicare on his behalf.

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

Entity Name	Riverside Medical Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720183403 PECOS PAC ID: 2961492327 Enrollment ID: O20040517000880

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Amit Devaraj is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Amit Devaraj, NP File# 54701, Los Angeles, CA 90074-4701 Ph: (909) 651-4300	Mr Amit Devaraj, NP 25455 Barton Rd Ste 204b, Loma Linda, CA 92354-3130 Ph: (909) 558-6600

Reviews and Comments

Nurse Practitioner Nurses in Loma Linda, CA

Holly Cornejo, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084
Mrs. Kenya Neoko Singleton, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton Street, Loma Linda, CA 92357 Phone: 909-825-7084 Fax: 909-777-3874
Miss Christine Eunice Kurunathan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11034 Veach St, Loma Linda, CA 92354 Phone: 909-825-7084 Fax: 909-777-3291
Krista Smith, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084
Kristina Pulliam Markey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson Strreet, Loma Linda, CA 92354 Phone: 909-558-5967
Lauren Trajano, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-8000
Frances Rowena Mccann, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-8514

Mr Amit Devaraj, NP - Medicare Nurse Practitioner in Loma Linda, CA