SANDRA MAULTASCH
NPI 1104615327
Nurse Practitioner - Psychiatric/Mental Health in Escondido, CA

Q: What is Sandra Maultasch's NPI number?

The NPI number for Sandra Maultasch is 1104615327. It was assigned to this individual provider in the NPPES registry on May 5, 2025.

Q: What is Sandra Maultasch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Maultasch was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 May 05, 2025PECOS Enrolled

474 W VERMONT AVE STE 101, ESCONDIDO, CA 92025(760) 480-2255 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sandra Maultasch NPPES

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

SANDRA MAULTASCH (NPI 1104615327) is an individual psychiatric/mental health provider in Escondido, California, licensed in California (NP95033158) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1104615327

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSANDRA MAULTASCH

Location Address474 W VERMONT AVE STE 101Escondido, CA 92025-6584

Mailing Address43218 Matera CtTemecula, CA 92592-9138 · (951) 428-7624

Phone(760) 480-2255

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMay 5, 2025

Last NPPES UpdateOctober 22, 2025

NPPES CertifiedOctober 22, 2025

✔ NPI 1104615327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · NP95033158

474 W VERMONT AVE STE 101, Escondido, CA 92025

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra Maultasch is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42700130

PECOS Enrollment IDI20251106004087

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 92025 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 15

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

LINDA OSUNA

Rehabilitation Practitioner