MRS. JAZEL RUIVIVAR SAMBO NP
NPI 1043860844
Nurse Practitioner in Carlsbad, CA

Q: What is Jazel Sambo's NPI number?

The NPI number for Jazel Sambo is 1043860844. It was assigned to this individual provider in the NPPES registry on September 13, 2019.

Q: What is Jazel Sambo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jazel Sambo was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 13, 2019PECOS Enrolled

2510 EL CAMINO REAL, CARLSBAD, CA 92008(760) 729-8941 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 25, 2022, Nov 3, 2020, Oct 22, 2020 and 2 more (5 updates tracked since 2019).

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About Mrs. Jazel Ruivivar Sambo Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JAZEL RUIVIVAR SAMBO NP (NPI 1043860844) is an individual nurse practitioner in Carlsbad, California, licensed in California (NP95012694) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043860844

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. JAZEL RUIVIVAR SAMBOCredential: NP

Location Address2510 EL CAMINO REALCarlsbad, CA 92008-1273

Mailing AddressPo Box 232410San Diego, CA 92193-2410

Phone(760) 729-8941

Sole ProprietorYes

Enumeration DateSeptember 13, 2019

Last NPPES UpdateJanuary 25, 20225 updates tracked since enumeration

NPPES CertifiedJanuary 25, 2022

✔ NPI 1043860844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · NP95012694

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedInternal MedicineTaxonomy 207R00000X · License 95012694 (CA)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95012694 (CA)

2510 EL CAMINO REAL, Carlsbad, CA 92008

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Secondary Practice Locations 2

Location 113525 Midland RdPoway, CA 92064-4771 · Phone (858) 486-9100

Location 2200 W Arbor DrSan Diego, CA 92103-9000 · Phone (800) 926-8273

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jazel Ruivivar Sambo Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92008 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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Pharmacist