VIDA SELENA SANDOVAL MD, MPH
NPI 1285330779
Pediatrics in San Francisco, CA

Q: What is Vida Sandoval's NPI number?

The NPI number for Vida Sandoval is 1285330779. It was assigned to this individual provider in the NPPES registry on February 6, 2023.

Q: What is Vida Sandoval's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Vida Sandoval was last updated on October 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since February 06, 2023PECOS Enrolled

550 16TH ST FL 4, SAN FRANCISCO, CA 94143(415) 476-5001 Get Directions Write a Review

NPPES record last updated: October 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 28, 2023, Mar 28, 2023, Feb 6, 2023 (3 updates tracked since 2023).

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About Vida Selena Sandoval Md, Mph NPPES

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

VIDA SELENA SANDOVAL MD, MPH (NPI 1285330779) is an individual pediatrics provider in San Francisco, California, licensed in California (12280) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1285330779

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameVIDA SELENA SANDOVALCredential: MD, MPH

Location Address550 16TH ST FL 4San Francisco, CA 94143-0110

Mailing Address550 16th St Fl 4San Francisco, CA 94143-0110 · (415) 476-5001

Phone(415) 476-5001

Sole ProprietorYes

Enumeration DateFebruary 6, 2023

Last NPPES UpdateOctober 28, 20233 updates tracked since enumeration

NPPES CertifiedOctober 28, 2023

✔ NPI 1285330779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · 12280

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

550 16TH ST FL 4, San Francisco, CA 94143

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Secondary Practice Location 1

Location 1885 Tiverton DriveLos Angeles, CA 90095-0001 · Phone (310) 825-6373

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vida Selena Sandoval Md, Mph 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94143 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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 20

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

ALYSSA TOSHIMI GO

Pediatrics