Organization provider

PEARSONS MEDICAL GROUP PHARMACY

Pharmacy Medicare enrolled

PEARSONS MEDICAL GROUP PHARMACY is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1790780070, based in San Bernardino, CA. It is classified under Pharmacy.

Getting there

The practice address on file is 1700 N WATERMAN AVE, San Bernardino, CA 92404. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1700 N WATERMAN AVE, San Bernardino, CA 92404 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
PHY56123 CA Pharmacy primary

This provider holds licence PHY56123 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Mass Immunization (roster Biller Only)
PAC ID
6406105246

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Mass Immunization (roster Biller Only). This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Pharmacy covers

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. NUCC Health Care Provider Taxonomy, code 333600000X
Suppliers Pharmacy

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1790780070 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateJun 14, 2005
Last updatedMar 4, 2025
StatusActive
Practice address 1700 N WATERMAN AVE
San Bernardino, CA 92404
(909) 883-3088
Fax (909) 881-2208
Other identifiers PHA206080 (CA)
This record was updated on Mar 4, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1790780070 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 9 0 7 8 0 0 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 9 0 5 8 0 0 5

Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1790780070?
NPI 1790780070 is the National Provider Identifier assigned to PEARSONS MEDICAL GROUP PHARMACY in San Bernardino, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pharmacy cover?
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed…
How do I contact PEARSONS MEDICAL GROUP PHARMACY?
The phone number on file with NPPES is (909) 883-3088, last updated Mar 4, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does PEARSONS MEDICAL GROUP PHARMACY accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1790780070 a valid number?
Yes. 1790780070 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.