STEPHANIE MICHELLE SANDERS
NPI 1053817627
General Practice in Loma Linda, CA
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
Specialties & Licenses 2
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Stephanie Sanders reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Riverside, CA 92507
- Reassigned Medicare billing, California enrollment
- 349 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.
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.
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
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.
Which organization bills Medicare for Stephanie Sanders's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Sanders reassigns Medicare benefits to Riverside Medical Clinic, Inc (Riverside, CA). The 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 Stephanie Sanders'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 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 2 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.
# Stephanie Michelle Sanders · NPI 1053817627
General Practice physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since April 3, 2018.
## Identity
- **NPI:** 1053817627 (Entity type: Individual)
- **Enumerated:** April 3, 2018
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** A166781 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11234 ANDERSON ST, Loma Linda, CA 92354-2804
- **Phone:** (909) 558-4074
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Riverside Medical Clinic, Inc (NPI 1780782557, Riverside, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loma Linda University School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** August 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1053817627) · Data from the CMS NPPES public registry.