DR. SANDRA MARISSA CERVANTES MD
NPI 1073701041
Obstetrics & Gynecology in San Diego, CA

Active since October 04, 2007PECOS EnrolledAccepts Medicare Assignment
2120 LANDIS ST, SAN DIEGO, CA 92104(512) 779-5505 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 23, 2024, Mar 17, 2018, Dec 11, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Sandra Marissa Cervantes Md NPPES

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

DR. SANDRA MARISSA CERVANTES MD (NPI 1073701041) is an individual obstetrics & gynecology provider in San Diego, California, licensed in California (A118095) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS, is affiliated with Pine Ridge Ihs Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1073701041
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. SANDRA MARISSA CERVANTESCredential: MD
Location Address2120 LANDIS STSan Diego, CA 92104-3308
Mailing Address2120 Landis StSan Diego, CA 92104-3308
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 4, 2007
Last NPPES UpdateApril 23, 20244 updates tracked since enumeration
NPPES CertifiedApril 23, 2024
NPI 1073701041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in CA · A118095 Licensed in TX · 526427
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2120 LANDIS ST, San Diego, CA 92104

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

Dr. Sandra Marissa Cervantes Md 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 ID8123266749
PECOS Enrollment IDI20240701003270
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Pine Ridge Ihs Hospital

Acute Care Hospitals · Pine Ridge, SD
OwnershipGovernment - Federal
CMS Certification Number430098
LocationEast Highway 18Pine Ridge, SD 57770 · Oglala Lakota County County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92104 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Sandra Cervantes's NPI number?

The NPI number for Sandra Cervantes is 1073701041. It was assigned to this individual provider in the NPPES registry on October 4, 2007.

Where is Sandra Cervantes located?

Sandra Cervantes practices at 2120 Landis St, San Diego, CA 92104. The listed phone number is (512) 779-5505.

What is Sandra Cervantes's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Sandra Cervantes enrolled in Medicare?

Yes. Sandra Cervantes 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.

Is Sandra Cervantes affiliated with any hospitals?

According to CMS data, Sandra Cervantes is affiliated with Pine Ridge Ihs Hospital.

When was this NPI record last updated?

The NPPES record for Sandra Cervantes was last updated on April 23, 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.