STEPHANIE MICHELLE SANDERS
NPI 1053817627
General Practice in Loma Linda, CA

Active since April 03, 2018PECOS EnrolledAccepts Medicare Assignment
11234 ANDERSON ST, LOMA LINDA, CA 92354(909) 558-4074 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephanie Michelle Sanders NPPES

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

STEPHANIE MICHELLE SANDERS (NPI 1053817627) is an individual general practice provider in Loma Linda, California, licensed in California (A166781) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2018).

NPPES Registry Identity

NPI1053817627
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameSTEPHANIE MICHELLE SANDERS
Location Address11234 ANDERSON STLoma Linda, CA 92354-2804
Mailing Address111 Eaton CtSan Bernardino, CA 92408-4123
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2018
Enumeration DateApril 3, 2018
Last NPPES UpdateAugust 15, 2024
NPPES CertifiedAugust 15, 2024
NPI 1053817627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in CA · A166781
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
11234 ANDERSON ST, Loma Linda, CA 92354

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Stephanie Michelle Sanders 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 ID1153836317
PECOS Enrollment IDI20250716000919
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.

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.

Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
General Practice
11234 ANDERSON ST
LOMA LINDA, CA 92354
Preventive Medicine (Occupational Medicine)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92354
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST
LOMA LINDA, CA 92354

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 Stephanie Sanders's NPI number?

The NPI number for Stephanie Sanders is 1053817627. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Where is Stephanie Sanders located?

Stephanie Sanders practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-4074.

What is Stephanie Sanders's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Stephanie Sanders enrolled in Medicare?

Yes. Stephanie Sanders is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Stephanie Sanders was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.