ANISSA Y LACOUNT (MD) – Family Medicine Physician, NPI 1609854397

ANISSA Y LACOUNT (MD) is a healthcare provider. based in Fontana, California. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. A78550 (CA). The NPI Number for ANISSA Y LACOUNT (MD) is 1609854397

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
ANISSA Y LACOUNT (MD)
NPI
1609854397
Phone
(909) 427-7132
Address
9985 SIERRA AVE
Enumeration Date
4 January 2006
Last Update Date
3 December 2021

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8887500036
Graduation Year
2000 (26 years ago)
PAC ID
7214826411
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20040315000667
Address ID
CA917304833RA10850RTEX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

13,194 FAMILY PRACTICE in CA

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Provider Addresses for ANISSA Y LACOUNT (MD)

  • Sierra Avenue, Fontana, San Bernardino County, California, 92377, United States

    PERMANENTE HUMAN RESOURCES

    FONTANA, CA 923356720

    Phone: (909) 427-7132

    Fax: (909) 427-5033

    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: 2004-03-15

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
I20040315000667IFamily 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 92335)

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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: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

What NPI should I save for ANISSA Y LACOUNT (MD)?
Save NPI 1609854397 if you need a stable reference for ANISSA Y LACOUNT (MD).
Is ANISSA Y LACOUNT (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does ANISSA Y LACOUNT (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for ANISSA Y LACOUNT (MD). Clinical services aligned with this taxonomy classification.
Where is ANISSA Y LACOUNT (MD)'s primary listing?
We display Fontana, California because that is what the record indicates for ANISSA Y LACOUNT (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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