Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shawhin Daniel Beroukhim

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194353698

Shawhin Daniel Beroukhim is an Anesthesiology in Colton, California. Qualified in 2020, 6 years ago. Practices with Pacific Valley Medical Group, a 104-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
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Practice location Address checks out

400 N Pepper Ave Ste 309
Colton, CA 92324-1801
Phone: (909) 580-3362
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1194353698
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 30, 2020
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024
Mailing address703 Main St, Paterson, NJ 07503-2621

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Pacific Valley Medical Group — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Colton