Individual provider Active NPI

Ann-Renee Desrochers, MD

  • Family Medicine Physician
  • San Bernardino, CA
National Provider Identifier
1932135076
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A98858 Issued in CA
Practice address
1700 N Waterman Ave
San Bernardino, CA 92404-5115
Phone
(909) 883-8611
Fax
(909) 886-1798
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A98858 CA Primary

Addresses

Primary practice location

1700 N Waterman Ave
San Bernardino, CA 92404-5115

Mailing address

1700 N Waterman Ave
San Bernardino, CA 92404-5115
Phone (909) 883-8611

Other practice location 1

270 Bellevue Ave # 1084
Newport, RI 02840-3516
Phone (720) 689-5269

Other identifiers 1

IdentifierTypeStateIssuer
00A988580MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OH, TX, WY4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20071213000862 CA Practitioner - Family Practice 9638269632 Reassigns benefits to 1 organization
I20230831003274 OH Practitioner - Family Practice 9638269632 Reassigns benefits to 1 organization
I20231128003351 TX Practitioner - Family Practice 9638269632 Reassigns benefits to 1 organization
I20251201000264 WY Practitioner - Family Practice 9638269632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3000 Lawrence St
Suite 101
Denver, CO 80205-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A98858CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cirrusmd Medical Group of Delaware, P.a. Family Medicine CurrentSince Jul 17, 2023 Accepting new patients
Redlands Family Practice Medical Group Inc. Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
Redlands Family Physicians Medical Associates, Inc. Family Medicine Current Accepting new patients

Locations

1520 Barton Rd
Redlands, CA 92373
Phone (909) 793-3208

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

3000 Lawrence St
Ste 101
Denver, CO 80205

3513 Brighton Blvd
Ste 230
Denver, CO 80216
Phone (303) 653-7720

3000 Lawrence St
#101
Denver, CO 80205
Phone (720) 996-0522

6844 Bardstown Rd
Louisville, KY 40291
Phone (216) 303-1265

865 State Route 33
Ste 3
Freehold, NJ 07728
Phone (424) 292-2923

1985 Henderson Rd
Columbus, OH 43220
Phone (419) 377-0591

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1932135076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045115",
            "telephone_number": "909-883-8611",
            "fax_number": "909-886-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045115",
            "telephone_number": "909-883-8611",
            "fax_number": "909-886-1798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 Bellevue Ave # 1084",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "RI",
            "postal_code": "028403516",
            "country_code": "US",
            "telephone_number": "720-689-5269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESROCHERS",
        "first_name": "ANN-RENEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A98858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A988580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.