MARIANA SANDOVAL
NPI 1558017715
Marriage & Family Therapist in Modesto, CA
About Mariana Sandoval NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIANA SANDOVAL (NPI 1558017715) is an individual marriage & family therapist in Modesto, California and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mariana Sandoval is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mariana Sandoval reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Walnut Creek, CA 94598
- Reassigned Medicare billing, California enrollment
- 137 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.
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.
MODESTO, CA 95354
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 Mariana Sandoval's NPI number?
The NPI number for Mariana Sandoval is 1558017715. It was assigned to this individual provider in the NPPES registry on February 25, 2022.
Where is Mariana Sandoval located?
Mariana Sandoval practices at 1101 M St, Modesto, CA 95354. The listed phone number is (209) 552-9568.
What is Mariana Sandoval's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Mariana Sandoval enrolled in Medicare?
Yes. Mariana Sandoval is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mariana Sandoval's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mariana Sandoval reassigns Medicare benefits to Integrated Pain Management Medical Group, Inc. (Walnut Creek, 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 Mariana 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 Mariana Sandoval was last updated on April 4, 2022. 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.
# Mariana Sandoval · NPI 1558017715
Marriage & Family Therapist provider in Modesto, California. Individual provider, active in the CMS NPPES registry since February 25, 2022.
## Identity
- **NPI:** 1558017715 (Entity type: Individual)
- **Enumerated:** February 25, 2022
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1101 M ST, Modesto, CA 95354-0755
- **Phone:** (209) 552-9568
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Integrated Pain Management Medical Group, Inc. (NPI 1922198779, Walnut Creek, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 4, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1558017715) · Data from the CMS NPPES public registry.