Active NPI
Benjamin Tabibian
- Critical Care Medicine (Internal Medicine) Physician
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 20A12185
- Practice address
- 2101 N Waterman Ave
San Bernardino, CA 92404-4836 - Phone
- (909) 475-5086
- Fax
- (909) 321-6057
- NPI assigned
- Apr 19, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Q8653 | TX | |
| Hospitalist Physician | 208M00000X | 20A12185 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 20A12185 | CA | Primary |
Addresses
Primary practice location
2101 N Waterman Ave
San Bernardino, CA 92404-4836
Mailing address
6431 Fannin Street
Suite MSB 1.434
Houston, TX 77030-5389
Phone (832) 325-7222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
31700 Temecula Pkwy
Temecula, CA 92592-5896
Phone (951) 331-2200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q8653 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Faculty Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Inpatient Specialists of California, PC | Internal Medicine | Current | Accepting new patients |
| Foothill Pulmonary & Critical Care Consultants Medical Group Inc. | Internal Medicine | Current | Accepting new patients |
| Quantum Healthcare Medical Associates Inc. | Internal Medicine | Past | Accepting new patients |
Locations
301 W Huntington Dr
Ste 607
Arcadia, CA 91007
Phone (626) 445-4051
26520 Cactus Ave
Moreno Valley, CA 92555
Phone (951) 486-5610
959 E Walnut St
Ste 120
Pasadena, CA 91106
Phone (626) 795-1831
2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305
1800 N California St
Stockton, CA 95204
Phone (209) 467-6400
31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939
Interoperability endpoints
- btabibian11518@direct.llu.edu
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1952792475
-
- Critical Care Medicine (Internal Medicine) Physician
- Pasadena, CA
- NPI 1205862489
-
- Internal Medicine Physician
- Moreno Valley, CA
- NPI 1124032461
-
- Hospitalist Physician
- Colton, CA
- NPI 1568490597
Internal Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Bernardino, CA
- NPI 1235290818
-
dba St. Bernardine Medical Center
- General Acute Care Hospital
- San Bernardino, CA
- NPI 1689769911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1609192426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6431 FANNIN STREET",
"address_2": "SUITE MSB 1.434",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770305389",
"telephone_number": "832-325-7222",
"fax_number": "713-500-6829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 N WATERMAN AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924044836",
"telephone_number": "909-475-5086",
"fax_number": "909-321-6057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABIBIAN",
"first_name": "BENJAMIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-19",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "Q8653",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "20A12185",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "20A12185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
- Synestra Integrated Behavioral Health Solutions Inc
- Richard Scott Synovec
- T William Hill MD Inc
- T. Van, MD Prof. Medical Corp.
- Valerie Rose Taber, MA
- Sayaka Miyashita Tada
- Neveen Tadros, M.D.
- Tagatac Ida a Dental Corporation (Inland Dental Arts a Dental Corporation)
- Tenille Charity Taggart, MA
- Curtis Tague
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.