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SALLY A KAUFMAN M.D.
NPI 1467866459
Pediatrics in San Diego, CA

Active since June 17, 2014PECOS EnrolledAccepts Medicare Assignment
200 W ARBOR DR # 8425, SAN DIEGO, CA 92103(619) 543-6268 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 14, 2021, Oct 18, 2018 (2 updates tracked since 2018).

About Sally A Kaufman M.d. NPPES

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

SALLY A KAUFMAN M.D. (NPI 1467866459) is an individual pediatrics provider in San Diego, California, licensed in California (A140759) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2014).

NPPES Registry Identity

NPI1467866459
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSALLY A KAUFMANCredential: M.D.
Location Address200 W ARBOR DR # 8425San Diego, CA 92103-1911
Mailing Address501 Washington St Ste 525San Diego, CA 92103-2239
Phone(619) 543-6268
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2014
Enumeration DateJune 17, 2014
Last NPPES UpdateDecember 14, 20212 updates tracked since enumeration
NPPES CertifiedDecember 14, 2021
✔ NPI 1467866459 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 · A140759
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 ListedInternal MedicineTaxonomy 207R00000X · License A140759 (CA)
200 W ARBOR DR # 8425, San Diego, CA 92103
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Other Names 1

Former Name (1)Sally A Ogle M.d.

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

Sally A Kaufman M.d. 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 ID5092007989
PECOS Enrollment IDI20190308000553
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 Sally Kaufman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group
1.2 mi
Health Maintenance Organization
1288 CAMINO DEL RIO N
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1023425972 (877) 608-0044
Sharp Rees-Stealy Medical Group, Inc
6.1 mi
Internal Medicine
5651 COPLEY DR STE A
San Diego, CA 92111
  • Reassigned Medicare billing, California enrollment
  • 1,233 clinicians in this Medicare group
NPI 1285616177 (858) 262-6666

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 92103 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

RYAN HSIEH
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # 8425
SAN DIEGO, CA 92103
San Diego County (619) 543-6268
STEPHANIE ELISA GUERRERI M.D.
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # 8425
SAN DIEGO, CA 92103
San Diego County (619) 543-6268
KAVYA H MANU MD
Internal Medicine
200 W ARBOR DR # 8425
SAN DIEGO, CA 92103
San Diego County (619) 543-6268
ROBERT MARLIN MD
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # 8425
SAN DIEGO, CA 92103
San Diego County (619) 543-6268
MONICA CELINE LAYSON FORTICH MD
Internal Medicine
200 W ARBOR DR # 8425
SAN DIEGO, CA 92103
San Diego County (619) 543-6268
MICHAEL FINK
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # 8425
SAN DIEGO, CA 92103
San Diego County (925) 285-0814
REVA PRABHA PEER
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # 8425
SAN DIEGO, CA 92103
San Diego County (619) 543-6268
NIHAAL REDDY MD
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # 8425
SAN DIEGO, CA 92103
San Diego County (619) 543-6268

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 Sally Kaufman's NPI number?

The NPI number for Sally Kaufman is 1467866459. It was assigned to this individual provider in the NPPES registry on June 17, 2014. The provider is also known as Sally A Ogle M.D..

Where is Sally Kaufman located?

Sally Kaufman practices at 200 W Arbor Dr # 8425, San Diego, CA 92103. The listed phone number is (619) 543-6268.

What is Sally Kaufman's specialty?

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

Is Sally Kaufman enrolled in Medicare?

Yes. Sally Kaufman 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 Sally Kaufman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sally Kaufman reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (San Diego, CA) and Sharp Rees-Stealy Medical Group, Inc (San Diego, 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 Sally Kaufman'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 Sally Kaufman was last updated on December 14, 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.