SANDRA LIMON NP
NPI 1316493406
Nurse Practitioner in Hesperia, CA

Active since August 29, 2016PECOS EnrolledAccepts Medicare Assignment
12021 JACARANDA AVE STE 101, HESPERIA, CA 92345(760) 956-5057(760) 948-2179 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 1, 2021, Sep 12, 2016, Aug 29, 2016 (3 updates tracked since 2016).

About Sandra Limon Np NPPES

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

SANDRA LIMON NP (NPI 1316493406) is an individual nurse practitioner in Hesperia, California, licensed in California (95003484) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Apple Valley, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1316493406
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSANDRA LIMONCredential: NP
Location Address12021 JACARANDA AVE STE 101Hesperia, CA 92345-4978
Mailing Address12021 Jacaranda Ave Ste 101Hesperia, CA 92345-4978 · (760) 956-5057 · Fax (760) 948-2179
Fax(760) 948-2179
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 29, 2016
Last NPPES UpdateDecember 1, 20213 updates tracked since enumeration
✔ NPI 1316493406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95003484
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
12021 JACARANDA AVE STE 101, Hesperia, CA 92345

Secondary Practice Location 1

Location 116085 Tuscola Rd, SUITE 2 AND 3Apple Valley, CA 92307-3394 · Phone (760) 810-0301

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sandra Limon Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052687928
PECOS Enrollment IDI20171019002782
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

3

Medicare enrollment records show Sandra Limon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
15888 MAIN ST, SUITE 112B
Hesperia, CA 92345
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
Health Maintenance Organization
15272 SUMMIT AVE
Fontana, CA 92336
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
Health Service
2625 TOWNSGATE RD STE 330
Westlake Village, CA 91361
  • Reassigned Medicare billing, California enrollment
  • 77 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 92345 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 3

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

Pediatrics
12021 JACARANDA AVE STE 101
HESPERIA, CA 92345
Registered Nurse
12021 JACARANDA AVE STE 101
HESPERIA, CA 92345
General Practice
12021 JACARANDA AVE STE 101
HESPERIA, CA 92345

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 Limon's NPI number?

The NPI number for Sandra Limon is 1316493406. It was assigned to this individual provider in the NPPES registry on August 29, 2016.

Where is Sandra Limon located?

Sandra Limon practices at 12021 Jacaranda Ave Ste 101, Hesperia, CA 92345. The listed phone number is (760) 956-5057.

What is Sandra Limon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sandra Limon enrolled in Medicare?

Yes. Sandra Limon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sandra Limon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Limon reassigns Medicare benefits to 3 organizations: Hesperia Clinica Medica Familiar A Medical Corporation (Hesperia, CA), Southern California Permanente Medical Group (Fontana, CA) and Onclick Healthcare Incorporated (Westlake Village, 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 Sandra Limon'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 Limon was last updated on December 1, 2021. 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.