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MS. SANDRA BLAIR EKIMOTO NP
NPI 1134079809
Nurse Practitioner - Psychiatric/Mental Health in Santa Ana, CA

Active since February 02, 2026PECOS EnrolledAccepts Medicare Assignment
901 W CIVIC CENTER DR STE 200, SANTA ANA, CA 92703(877) 515-8113(877) 538-2102 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 18, 2026, Feb 2, 2026 (2 updates tracked since 2026).

About Ms. Sandra Blair Ekimoto Np NPPES

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

MS. SANDRA BLAIR EKIMOTO NP (NPI 1134079809) is an individual psychiatric/mental health provider in Santa Ana, California, licensed in California (95038383) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1134079809
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. SANDRA BLAIR EKIMOTOCredential: NP
Location Address901 W CIVIC CENTER DR STE 200Santa Ana, CA 92703-2383
Mailing Address901 W Civic Center Dr Ste 200Santa Ana, CA 92703-2383 · (877) 515-8113 · Fax (877) 538-2102
Phone(877) 515-8113
Fax(877) 538-2102
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 2, 2026
Last NPPES UpdateMay 18, 20262 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1134079809 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
Licenses✔ Licensed in CA · 95038383✔ Licensed in AZ · 332703
901 W CIVIC CENTER DR STE 200, Santa Ana, CA 92703
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna HealthCare of Arizona, Inc, UnitedHealthcare.Insurance ›

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

Ms. Sandra Blair Ekimoto Np 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 ID4486125846
PECOS Enrollment IDI20260605002799
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.

Medicare Billing Reassignment

Medicare enrollment records show Sandra Ekimoto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ehab Yacoub MD Inc.
25 mi
Child & Adolescent Psychiatry
1225 W 190TH ST STE 280
Gardena, CA 90248
  • Reassigned Medicare billing, California enrollment
  • 375 clinicians in this Medicare group
NPI 1417373713 (310) 515-8113

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92703 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 6

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

GENTLE BUTTERFLY PHLEBOTOMY SERVICES LLC
Technician, Pathology (Phlebotomy)
901 W CIVIC CENTER DR STE 200
SANTA ANA, CA 92703
Orange County (951) 407-5996
FISTA TRANSPORTATION LLC
Non-emergency Medical Transport (VAN)
901 W CIVIC CENTER DR STE 200
SANTA ANA, CA 92703
Orange County (714) 204-2565
SOPAT CHUOP
Speech-Language Pathologist
901 W CIVIC CENTER DR STE 200
SANTA ANA, CA 92703
Orange County (714) 859-0080
CA CARE COORDINATORS LTD
Case Management
901 W CIVIC CENTER DR STE 200
SANTA ANA, CA 92703
Orange County (888) 582-2282
IMPERIAL AGENCY
Non-emergency Medical Transport (VAN)
901 W CIVIC CENTER DR STE 200
SANTA ANA, CA 92703
Orange County (707) 409-9711
HAYK KARSYAN
Case Manager/Care Coordinator
901 W CIVIC CENTER DR STE 200
SANTA ANA, CA 92703
Orange County (714) 200-2298

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 Ekimoto's NPI number?

The NPI number for Sandra Ekimoto is 1134079809. It was assigned to this individual provider in the NPPES registry on February 2, 2026.

Where is Sandra Ekimoto located?

Sandra Ekimoto practices at 901 W Civic Center Dr Ste 200, Santa Ana, CA 92703. The listed phone number is (877) 515-8113.

What is Sandra Ekimoto's specialty?

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

Is Sandra Ekimoto enrolled in Medicare?

Yes. Sandra Ekimoto 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 Sandra Ekimoto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Ekimoto reassigns Medicare benefits to Ehab Yacoub MD Inc. (Gardena, 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 Sandra Ekimoto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Ekimoto accept?

Health plans from Cigna HealthCare of Arizona, Inc and UnitedHealthcare list Sandra Ekimoto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sandra Ekimoto was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.