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ALBERTO SANDOVAL
NPI 1396355566
Nurse Practitioner - Family in Los Banos, CA

Active since August 03, 2020PECOS Enrolled
2830 EGRET LN, LOS BANOS, CA 93635(831) 207-0904 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alberto Sandoval NPPES

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

ALBERTO SANDOVAL (NPI 1396355566) is an individual family provider in Los Banos, California, licensed in California (NP95014879) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396355566
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameALBERTO SANDOVAL
Location Address2830 EGRET LNLos Banos, CA 93635-9477
Mailing Address2830 Egret LnLos Banos, CA 93635-9477 · (831) 207-0904
Phone(831) 207-0904
Sole ProprietorYes
Enumeration DateAugust 3, 2020
NPPES CertifiedAugust 3, 2020
✔ NPI 1396355566 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 · NP95014879
2830 EGRET LN, Los Banos, CA 93635
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alberto Sandoval 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 Alberto Sandoval reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Medical Centers, Inc
55 mi
Clinic/Center
200 COTTAGE AVE STE 103
Manteca, CA 95336
  • Reassigned Medicare billing, California enrollment
  • 154 clinicians in this Medicare group
NPI 1710211214 (209) 624-5800

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 93635 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims23 services$5.45 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$51.98 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$26.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Alberto Sandoval's NPI number?

The NPI number for Alberto Sandoval is 1396355566. It was assigned to this individual provider in the NPPES registry on August 3, 2020.

Where is Alberto Sandoval located?

Alberto Sandoval practices at 2830 Egret Ln, Los Banos, CA 93635. The listed phone number is (831) 207-0904.

What is Alberto Sandoval's specialty?

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

Is Alberto Sandoval enrolled in Medicare?

Yes. Alberto Sandoval is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alberto Sandoval's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alberto Sandoval reassigns Medicare benefits to Community Medical Centers, Inc (Manteca, 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 Alberto Sandoval'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 Alberto Sandoval was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.