LENA CLAIRE VAN DER LIST D.O.
NPI 1003265596
Pediatrics in Sacramento, CA
About Lena Claire Van Der List D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LENA CLAIRE VAN DER LIST D.O. (NPI 1003265596) is an individual pediatrics provider in Sacramento, California, licensed in California (20A17025) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Sacramento.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lena Claire Van Der List D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Lena Van Der List reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sacramento, CA 95817
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Regents Of The Univ Of Ca
- 2,570 clinicians in this Medicare group
Sacramento, CA 95817
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Regents Of The University Of California
- 918 clinicians in this Medicare group
Sacramento, CA 95820
- Reassigned Medicare billing, California enrollment
- 135 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95817 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SACRAMENTO, CA 95817
SACRAMENTO, CA 95817
SACRAMENTO, CA 95817
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lena Van Der List's NPI number?
The NPI number for Lena Van Der List is 1003265596. It was assigned to this individual provider in the NPPES registry on June 6, 2016.
Where is Lena Van Der List located?
Lena Van Der List practices at 2516 Stockton Blvd, Sacramento, CA 95817. The listed phone number is (916) 734-2428.
What is Lena Van Der List's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Lena Van Der List enrolled in Medicare?
Yes. Lena Van Der List is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Lena Van Der List's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lena Van Der List reassigns Medicare benefits to 3 organizations: Regents Of The University Of Ca (Sacramento, CA), Regents Of The University Of Ca (Sacramento, CA) and County Of Sacramento (Sacramento, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lena Van Der List's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lena Van Der List was last updated on June 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lena Claire Van Der List, D.O. · NPI 1003265596
Pediatrics physician in Sacramento, California. Individual provider, active in the CMS NPPES registry since June 6, 2016.
## Identity
- **NPI:** 1003265596 (Entity type: Individual)
- **Enumerated:** June 6, 2016
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 20A17025 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2516 STOCKTON BLVD, Sacramento, CA 95817-2208
- **Phone:** (916) 734-2428
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Regents Of The University Of Ca (NPI 1104815067, Sacramento, CA); Regents Of The University Of Ca (NPI 1407836059, Sacramento, CA); County Of Sacramento (NPI 1366513061, Sacramento, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 19, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1003265596) · Data from the CMS NPPES public registry.