ARIANNE JANETTE MEDRANO (PT, DPT) – Physical Therapist, NPI 1043079221

ARIANNE JANETTE MEDRANO (PT, DPT) is a healthcare provider. based in Fontana, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 305581 (CA). The NPI Number for ARIANNE JANETTE MEDRANO (PT, DPT) is 1043079221

Main info

Female
3 Years Of Experience
Name
ARIANNE JANETTE MEDRANO (PT, DPT)
NPI
1043079221
Phone
(909) 471-0731
Address
15931 FAN PALM ST
Enumeration Date
18 March 2024
Last Update Date
18 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2138982673
Graduation Year
2023 (3 years ago)
PAC ID
5193257681
Group Practice PAC ID
9133650427
Professional Enrollment ID
I20241022004287
Address ID
CA920114602CA7188XENCI301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for ARIANNE JANETTE MEDRANO (PT, DPT)

  • 15931 FAN PALM ST

    FONTANA, CA 923366503

    Phone: (909) 471-0731

    Type: Mailing

  • 8376 BEVERLY BLVD

    LOS ANGELES, CA 900482631

    Phone: (323) 337-1123

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241022004287IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92336)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133650427View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeMT
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

Does ARIANNE JANETTE MEDRANO (PT, DPT) have a public NPI I can cite?
Public records show ARIANNE JANETTE MEDRANO (PT, DPT) under NPI 1043079221.
Is ARIANNE JANETTE MEDRANO (PT, DPT)'s NPI status active today?
Active status means ARIANNE JANETTE MEDRANO (PT, DPT)'s NPI record is not deactivated in the public file.
How should patients interpret ARIANNE JANETTE MEDRANO (PT, DPT)'s specialty?
The extract shows Physical Therapist for ARIANNE JANETTE MEDRANO (PT, DPT). Clinical services aligned with this taxonomy classification.
What city is tied to ARIANNE JANETTE MEDRANO (PT, DPT)?
The directory associates ARIANNE JANETTE MEDRANO (PT, DPT) with Fontana, California. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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