DR. ANDRE P. LALLANDE (D.O.) – Rheumatology Physician, NPI 1053471045

DR. ANDRE P. LALLANDE (D.O.) is a healthcare provider. based in Fontana, California. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 20A7021 (CA). The NPI Number for DR. ANDRE P. LALLANDE (D.O.) is 1053471045

Main info

Male
31 Years Of Experience
Name
DR. ANDRE P. LALLANDE (D.O.)
NPI
1053471045
Phone
(909) 559-1050
Address
5726 RIDGEMARK PL
Enumeration Date
11 December 2006
Last Update Date
18 February 2021

Doctor Profile

Medical School Name
COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Secondary Phone
70726383821204
Graduation Year
1995 (31 years ago)
PAC ID
4385680545
Group Practice PAC ID
8729975545
Professional Enrollment ID
I20050628001395
Address ID
CA954539754LA925XXCTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

13,190 FAMILY PRACTICE in CA

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Provider Addresses for DR. ANDRE P. LALLANDE (D.O.)

  • 5726, Ridgemark Place, Sierra Lakes, Fontana, San Bernardino County, California, 92336, United States

    FONTANA, CA 923365159

    Phone: (909) 559-1050

    Mailing address matches the actual address.

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: 2005-06-28

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
I20050628001395IFamily 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: 8729975545View full group profile
NameSpecialtyState
Marriage And Family TherapistCA
Physical Medicine And RehabilitationCO
Marriage And Family TherapistCA
Family PracticeCA
Anesthesiology, Pain ManagementCA
O P H T H A L M O L O G YIA
Clinical Social WorkerMD
-CA
Clinical Social WorkerCA
Physician AssistantCA

Reviews

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Frequently asked questions

Does DR. ANDRE P. LALLANDE (D.O.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. ANDRE P. LALLANDE (D.O.) uses 1053471045.
Is DR. ANDRE P. LALLANDE (D.O.) listed as active for patients and plans?
The listing shows DR. ANDRE P. LALLANDE (D.O.) as active in the NPI system.
What taxonomy line describes DR. ANDRE P. LALLANDE (D.O.)?
For research purposes, treat DR. ANDRE P. LALLANDE (D.O.) as Rheumatology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. ANDRE P. LALLANDE (D.O.) list a practice location?
Patients near Fontana, California may find DR. ANDRE P. LALLANDE (D.O.) in results; validate coverage separately.
Why does DR. ANDRE P. LALLANDE (D.O.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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