SANDRA MARISSA TOLEDO FNP-C
NPI 1043994528
Nurse Practitioner in Newport Beach, CA

Q: What is Sandra Toledo's NPI number?

The NPI number for Sandra Toledo is 1043994528. It was assigned to this individual provider in the NPPES registry on June 14, 2023.

Q: What is Sandra Toledo'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 Sandra Toledo was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 June 14, 2023PECOS EnrolledAccepts Medicare Assignment

500 SUPERIOR AVE STE 310, NEWPORT BEACH, CA 92663(949) 644-2722(949) 650-3135 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 20, 2024, Jun 20, 2023, Jun 14, 2023 (3 updates tracked since 2023).

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About Sandra Marissa Toledo Fnp-c NPPES

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

SANDRA MARISSA TOLEDO FNP-C (NPI 1043994528) is an individual nurse practitioner in Newport Beach, California, licensed in California (95025549) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1043994528

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSANDRA MARISSA TOLEDOCredential: FNP-C

Location Address500 SUPERIOR AVE STE 310Newport Beach, CA 92663-3609

Mailing Address500 Superior Ave Ste 310Newport Beach, CA 92663-3609 · (949) 644-2722 · Fax (949) 650-3135

Phone(949) 644-2722

Fax(949) 650-3135

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJune 14, 2023

Last NPPES UpdateAugust 27, 20253 updates tracked since enumeration

NPPES CertifiedAugust 27, 2025

✔ NPI 1043994528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95025549

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.

500 SUPERIOR AVE STE 310, Newport Beach, CA 92663

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sandra Marissa Toledo Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951821586

PECOS Enrollment IDI20251009001185

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.

Medicare Billing Reassignment

Medicare enrollment records show Sandra Toledo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hoag Clinic

Same address

Primary Care

510 SUPERIOR AVE
Newport Beach, CA 92663

Reassigned Medicare billing, California enrollment
529 clinicians in this Medicare group

NPI 1942799523 (949) 791-3001

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 92663 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 10

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

ANDREA RAE PETERSEN MPH, PA-C

Physician Assistant