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

Active since February 02, 2026PECOS Enrolled
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: August 02, 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
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

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

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.

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.

Technician, Pathology (Phlebotomy)
901 W CIVIC CENTER DR STE 200
SANTA ANA, CA 92703
Non-emergency Medical Transport (VAN)
901 W CIVIC CENTER DR STE 200
SANTA ANA, CA 92703
Speech-Language Pathologist
901 W CIVIC CENTER DR STE 200
SANTA ANA, CA 92703
Case Management
901 W CIVIC CENTER DR STE 200
SANTA ANA, CA 92703
Non-emergency Medical Transport (VAN)
901 W CIVIC CENTER DR STE 200
SANTA ANA, CA 92703
Case Manager/Care Coordinator
901 W CIVIC CENTER DR STE 200
SANTA ANA, CA 92703

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 enrollment system.

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 2 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.