LILIANA LOPEZ SANDOVAL FNP-C
NPI 1184211526
Nurse Practitioner - Family in Ontario, CA

Active since December 30, 2020PECOS Enrolled
1131 W 6TH ST STE 305, ONTARIO, CA 91762(713) 589-5283 Get Directions Write a Review

NPPES record last updated: June 26, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 29, 2021, Dec 30, 2020 (2 updates tracked since 2020).

About Liliana Lopez Sandoval Fnp-c NPPES

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

LILIANA LOPEZ SANDOVAL FNP-C (NPI 1184211526) is an individual family provider in Ontario, California, licensed in California (NP95016122) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184211526
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLILIANA LOPEZ SANDOVALCredential: FNP-C
Location Address1131 W 6TH ST STE 305Ontario, CA 91762-1121
Mailing Address5562 Philadelphia StChino, CA 91710-2466 · (214) 868-4371
Sole ProprietorNo
Enumeration DateDecember 30, 2020
Last NPPES UpdateJune 26, 20222 updates tracked since enumeration
NPPES CertifiedJune 26, 2022
✔ NPI 1184211526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · NP95016122
1131 W 6TH ST STE 305, Ontario, CA 91762

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Liliana Lopez Sandoval Fnp-c 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Liliana Sandoval reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
887 E SECOND ST
Pomona, CA 91766
  • Reassigned Medicare billing, California enrollment
  • 339 clinicians in this Medicare group
Health Maintenance Organization
1540 BRIDGEGATE DR
Diamond Bar, CA 91765
  • Reassigned Medicare billing, California enrollment
  • 283 clinicians in this Medicare group
Addiction Medicine
14591 NEWPORT AVE
Tustin, CA 92780
  • Reassigned Medicare billing, California enrollment
  • 2,052 clinicians in this Medicare group
Family Medicine
2 WEST FERN AVENUE
Redlands, CA 92373
  • Reassigned Medicare billing, California enrollment
  • 635 clinicians in this Medicare group

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 91762 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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

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

Nurse Practitioner (Adult Health)
1131 W 6TH ST STE 305
ONTARIO, CA 91762

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 Liliana Sandoval's NPI number?

The NPI number for Liliana Sandoval is 1184211526. It was assigned to this individual provider in the NPPES registry on December 30, 2020.

Where is Liliana Sandoval located?

Liliana Sandoval practices at 1131 W 6th St Ste 305, Ontario, CA 91762. The listed phone number is (713) 589-5283.

What is Liliana Sandoval's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Liliana Sandoval enrolled in Medicare?

Yes. Liliana Sandoval is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Liliana Sandoval's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Liliana Sandoval reassigns Medicare benefits to 4 organizations: Molina Healthcare Of California (Pomona, CA), Central Health Plan Of California, Inc. (Diamond Bar, CA), Healthcare Partners Affiliates Medical Group (Tustin, CA) and Beaver Medical Group P C (Redlands, CA). Each 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 Liliana Sandoval's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Liliana Sandoval was last updated on June 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.