SANDE O OKELO M.D.
NPI 1255385985
Pediatrics - Pediatric Pulmonology in Los Angeles, CA
About Sande O Okelo M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDE O OKELO M.D. (NPI 1255385985) is an individual pediatric pulmonology provider in Los Angeles, California, licensed in California (A68246) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 7
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sande O Okelo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sande Okelo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90095
- Reassigned Medicare billing, California enrollment
- 323 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
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 Sande Okelo's NPI number?
The NPI number for Sande Okelo is 1255385985. It was assigned to this individual provider in the NPPES registry on May 19, 2006.
Where is Sande Okelo located?
Sande Okelo practices at 10833 Le Conte Ave 12-311 Mdcc, Los Angeles, CA 90095. The listed phone number is (310) 267-0606.
What is Sande Okelo's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.
Is Sande Okelo enrolled in Medicare?
Yes. Sande Okelo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sande Okelo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sande Okelo reassigns Medicare benefits to Uc Regents (Los Angeles, 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 Sande Okelo'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 Sande Okelo was last updated on November 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Sande O Okelo, M.D. · NPI 1255385985
Pediatric Pulmonology physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since May 19, 2006.
## Identity
- **NPI:** 1255385985 (Entity type: Individual)
- **Enumerated:** May 19, 2006
- **Primary specialty:** Pediatrics - Pediatric Pulmonology · taxonomy 2080P0214X
- **State license:** A68246 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 10833 LE CONTE AVE, 12-311 MDCC, Los Angeles, CA 90095-3075
- **Phone:** (310) 267-0606
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Uc Regents (NPI 1982667663, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 16, 2011
- **Other identifiers:** Medicare PIN FI774Z (CA); Medicare ID-Type Unspecified KR44JH (MD); Medicare ID-Type Unspecified H143 (MD); and 4 more
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Source: [NPI Profile](https://npiprofile.com/npi/1255385985) · Data from the CMS NPPES public registry.