SANDRA DE ROLDAN NP
NPI 1235479627
Nurse Practitioner - Family in National City, CA

Active since February 21, 2013PECOS Enrolled
610 EUCLID AVE, SUITE 302, NATIONAL CITY, CA 91950(619) 527-7700(619) 527-3226 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 17, 2020, Apr 11, 2017 (2 updates tracked since 2017).

About Sandra De Roldan Np NPPES

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

SANDRA DE ROLDAN NP (NPI 1235479627) is an individual family provider in National City, California, licensed in California (694981) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235479627
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSANDRA DE ROLDANCredential: NP
Location Address610 EUCLID AVE, SUITE 302National City, CA 91950-2951
Mailing Address610 Euclid Ave, Suite 302National City, CA 91950-2951 · (619) 527-7700 · Fax (619) 527-3226
Fax(619) 527-3226
Sole ProprietorNo
Enumeration DateFebruary 21, 2013
Last NPPES UpdateNovember 17, 20202 updates tracked since enumeration
NPPES CertifiedNovember 17, 2020
✔ NPI 1235479627 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 · 694981
610 EUCLID AVE, National City, CA 91950

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra De Roldan Np 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 Reassignment

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

Family Medicine
752 MEDICAL CENTER CT, SUITE 210
Chula Vista, CA 91911
  • Reassigned Medicare billing, California enrollment
  • 4 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 91950 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 12

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

Pediatrics
610 EUCLID AVE, STE 302
NATIONAL CITY, CA 91950
Physician Assistant (Medical)
610 EUCLID AVE, SUITE 302
NATIONAL CITY, CA 91950
Legal Medicine
610 EUCLID AVE, SUITE 201
NATIONAL CITY, CA 91950
Legal Medicine
610 EUCLID AVE, SUITE 201
NATIONAL CITY, CA 91950
Family Medicine
610 EUCLID AVE, STE 302
NATIONAL CITY, CA 91950
Surgery
610 EUCLID AVE, SUITE 202
NATIONAL CITY, CA 91950
Family Medicine
610 EUCLID AVE, SUITE 302
NATIONAL CITY, CA 91950
Podiatrist (Foot Surgery)
610 EUCLID AVE, SUITE 304
NATIONAL CITY, CA 91950

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 De Roldan's NPI number?

The NPI number for Sandra De Roldan is 1235479627. It was assigned to this individual provider in the NPPES registry on February 21, 2013.

Where is Sandra De Roldan located?

Sandra De Roldan practices at 610 Euclid Ave Suite 302, National City, CA 91950. The listed phone number is (619) 527-7700.

What is Sandra De Roldan's specialty?

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

Is Sandra De Roldan enrolled in Medicare?

Yes. Sandra De Roldan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sandra De Roldan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra De Roldan reassigns Medicare benefits to Gateway Medical Group Of San Diego (Chula Vista, 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 De Roldan'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 Sandra De Roldan was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.