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MS. BERTHA DOLORES SAUCEDO PNP
NPI 1114005634
Nurse Practitioner - Pediatrics in Belmont, CA

Active since November 01, 2006PECOS Enrolled
2005 LYON AVE, BELMONT, CA 94002(605) 301-4573 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Bertha Dolores Saucedo Pnp NPPES

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

MS. BERTHA DOLORES SAUCEDO PNP (NPI 1114005634) is an individual pediatrics provider in Belmont, California, licensed in California (5149) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114005634
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. BERTHA DOLORES SAUCEDOCredential: PNP
Location Address2005 LYON AVEBelmont, CA 94002-1636
Mailing Address2005 Lyon AveBelmont, CA 94002-1636 · (650) 592-7137
Phone(605) 301-4573
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114005634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in CA · 5149
2005 LYON AVE, Belmont, CA 94002
Open in Google Maps ↗

Other Identifiers 1

Other27954CA · Lincense

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Bertha Dolores Saucedo Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 94002 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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 Bertha Saucedo's NPI number?

The NPI number for Bertha Saucedo is 1114005634. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Bertha Saucedo located?

Bertha Saucedo practices at 2005 Lyon Ave, Belmont, CA 94002. The listed phone number is (605) 301-4573.

What is Bertha Saucedo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Bertha Saucedo enrolled in Medicare?

Yes. Bertha Saucedo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bertha Saucedo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.