Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JESSE DAVID SANDERS JR. M.D.
NPI 1497756555
Family Medicine in Pacoima, CA

Active since August 10, 2005PECOS Enrolled
12756 VAN NUYS BLVD, PACOIMA, CA 91331(818) 896-0531(818) 896-5850 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jesse David Sanders Jr. M.d. NPPES

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

JESSE DAVID SANDERS JR. M.D. (NPI 1497756555) is an individual family medicine provider in Pacoima, California, licensed in California (G55931) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (1982).

NPPES Registry Identity

NPI1497756555
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJESSE DAVID SANDERS JR.Credential: M.D.
Location Address12756 VAN NUYS BLVDPacoima, CA 91331-1626
Mailing Address1172 N Maclay AveSan Fernando, CA 91340-1328 · (818) 898-1388 · Fax (818) 365-4031
Fax(818) 896-5850
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 1982
Enumeration DateAugust 10, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1497756555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · G55931
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12756 VAN NUYS BLVD, Pacoima, CA 91331

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jesse David Sanders Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648265710
PECOS Enrollment IDI20040417000538
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 91331 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

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
14 suppliers92 claims164 services$5.06 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers54 claims62 services$0.82 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$14.90 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
2 suppliers17 claims17 services$67.44 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$23.08 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
3 suppliers22 claims3,164 services$0.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Pediatrics)
12756 VAN NUYS BLVD
PACOIMA, CA 91331
Dietitian, Registered
12756 VAN NUYS BLVD
PACOIMA, CA 91331
Clinic/Center (Federally Qualified Health Center (FQHC))
12756 VAN NUYS BLVD
PACOIMA, CA 91331
Nurse Practitioner (Obstetrics & Gynecology)
12756 VAN NUYS BLVD
PACOIMA, CA 91331
Family Medicine
12756 VAN NUYS BLVD
PACOIMA, CA 91331
Nurse Practitioner (Obstetrics & Gynecology)
12756 VAN NUYS BLVD
PACOIMA, CA 91331
Nurse Practitioner (Obstetrics & Gynecology)
12756 VAN NUYS BLVD
PACOIMA, CA 91331
Social Worker
12756 VAN NUYS BLVD
PACOIMA, CA 91331

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 Jesse Sanders's NPI number?

The NPI number for Jesse Sanders is 1497756555. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Jesse Sanders located?

Jesse Sanders practices at 12756 Van Nuys Blvd, Pacoima, CA 91331. The listed phone number is (818) 896-0531.

What is Jesse Sanders's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jesse Sanders enrolled in Medicare?

Yes. Jesse Sanders is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jesse Sanders was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.