SANDRA BALDERAS PEREZ
NPI 1164763769
Marriage & Family Therapist in Modesto, CA

Q: What is Sandra Balderas Perez's NPI number?

The NPI number for Sandra Balderas Perez is 1164763769. It was assigned to this individual provider in the NPPES registry on March 6, 2013.

Q: What is Sandra Balderas Perez's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since March 06, 2013PECOS Enrolled

1130 12TH ST STE C, MODESTO, CA 95354(209) 525-5373 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2024, Mar 9, 2022, Feb 3, 2022 and 3 more (6 updates tracked since 2015).

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About Sandra Balderas Perez NPPES

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

SANDRA BALDERAS PEREZ (NPI 1164763769) is an individual marriage & family therapist in Modesto, California, licensed in California (115548) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164763769

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSANDRA BALDERAS PEREZ

Location Address1130 12TH ST STE CModesto, CA 95354-0834

Mailing AddressPo Box 579243Modesto, CA 95357-9243

Phone(209) 525-5373

Sole ProprietorNo

Enumeration DateMarch 6, 2013

Last NPPES UpdateApril 15, 20246 updates tracked since enumeration

NPPES CertifiedApril 15, 2024

✔ NPI 1164763769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 115548

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 115548 (CA)

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

1130 12TH ST STE C, Modesto, CA 95354

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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 Balderas Perez 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.

Other Providers at the Same Location NPPES 8

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

MRS. SAMANTHA CARBALLO AUSTIN LCSW

Social Worker (Clinical)