SYLVIA ESPINOZA MD
NPI 1376617084
Pediatrics in Palo Alto, CA

Active since November 17, 2006PECOS Enrolled
750 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2024, Oct 10, 2019 (2 updates tracked since 2019).

About Sylvia Espinoza Md NPPES

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

SYLVIA ESPINOZA MD (NPI 1376617084) is an individual pediatrics provider in Palo Alto, California, licensed in California (A65563) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Mateo.

NPPES Registry Identity

NPI1376617084
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSYLVIA ESPINOZACredential: MD
Location Address750 WELCH RDPalo Alto, CA 94304-1507
Mailing Address750 Welch RdPalo Alto, CA 94304-1507 · (650) 497-8000
Sole ProprietorNo
Enumeration DateNovember 17, 2006
Last NPPES UpdateApril 10, 20242 updates tracked since enumeration
NPPES CertifiedApril 10, 2024
✔ NPI 1376617084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A65563
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.
Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License A65563 (CA)
750 WELCH RD, Palo Alto, CA 94304

Secondary Practice Location 1

Location 1222 W 39th AveSan Mateo, CA 94403-4364 · Phone (650) 573-2222

Other Identifiers 1

Medicaid00A655630CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sylvia Espinoza Md 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

2

Medicare enrollment records show Sylvia Espinoza reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children
725 WELCH RD
Palo Alto, CA 94304
  • Reassigned Medicare billing, California enrollment
  • 3,617 clinicians in this Medicare group
Multi-Specialty
222 W 39TH AVE
San Mateo, CA 94403
  • Reassigned Medicare billing, California enrollment
  • 430 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 94304 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

Pediatrics
750 WELCH RD, SUITE 325
PALO ALTO, CA 94304
Internal Medicine (Nephrology)
750 WELCH RD, SUITE 214
PALO ALTO, CA 94304
Pediatrics (Neonatal-Perinatal Medicine)
750 WELCH RD, SUITE 315
PALO ALTO, CA 94304
Clinical Nurse Specialist (Pediatrics)
750 WELCH RD, SUITE116
PALO ALTO, CA 94304
Pediatrics (Neonatal-Perinatal Medicine)
750 WELCH RD, NEONATAL AND DEVELOPMENTAL MEDICINE MC: 5731
PALO ALTO, CA 94304
Pediatrics (Neonatal-Perinatal Medicine)
750 WELCH RD, SUITE 315
PALO ALTO, CA 94304
Pediatrics (Pediatric Cardiology)
750 WELCH RD
PALO ALTO, CA 94304
Pediatrics
750 WELCH RD
PALO ALTO, CA 94304

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 Sylvia Espinoza's NPI number?

The NPI number for Sylvia Espinoza is 1376617084. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Sylvia Espinoza located?

Sylvia Espinoza practices at 750 Welch Rd, Palo Alto, CA 94304. The listed phone number is (650) 497-8000.

What is Sylvia Espinoza's specialty?

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

Is Sylvia Espinoza enrolled in Medicare?

Yes. Sylvia Espinoza is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sylvia Espinoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sylvia Espinoza reassigns Medicare benefits to 2 organizations: Lpch Medical Group Div Of Lucile (Palo Alto, CA) and County Of San Mateo (San Mateo, 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 Sylvia Espinoza'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 Sylvia Espinoza was last updated on April 10, 2024. 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.