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ALMA C SANCHEZ M.D.
NPI 1558757799
Family Medicine in San Clemente, CA

Active since April 14, 2015PECOS EnrolledAccepts Medicare Assignment
638 CAMINO DE LOS MARES, SUITE D4, SAN CLEMENTE, CA 92673(949) 542-8865(949) 276-2367 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 12, 2025, Jun 6, 2019 (2 updates tracked since 2019).

About Alma C Sanchez M.d. NPPES

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

ALMA C SANCHEZ M.D. (NPI 1558757799) is an individual family medicine provider in San Clemente, California, licensed in California (A146510) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (2015).

NPPES Registry Identity

NPI1558757799
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameALMA C SANCHEZCredential: M.D.
Location Address638 CAMINO DE LOS MARES, SUITE D4San Clemente, CA 92673-3518
Mailing Address638 Camino De Los Mares, Suite D4San Clemente, CA 92673-3518 · (949) 542-8865 · Fax (949) 276-2367
Phone(949) 542-8865
Fax(949) 276-2367
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2015
Enumeration DateApril 14, 2015
Last NPPES UpdateFebruary 12, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
✔ NPI 1558757799 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 · A146510
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.
638 CAMINO DE LOS MARES, SUITE D4, San Clemente, CA 92673
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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 and accepts Medicare assignment

Alma C Sanchez 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 ID5890035711
PECOS Enrollment IDI20190312003080
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 Alma Sanchez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Memorialcare Medical Foundation
25 mi
Clinic/Center
17360 BROOKHURST ST
Fountain Valley, CA 92708
  • Reassigned Medicare billing, California enrollment
  • 948 clinicians in this Medicare group
NPI 1205167350 (877) 696-3622
Marin City Health And Wellness Center
409 mi
Federally Qualified Health Center (FQHC)
100 PHILLIPS DR
Sausalito, CA 94965
  • Reassigned Medicare billing, California enrollment
  • 24 clinicians in this Medicare group
NPI 1902681489 (415) 339-8813

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 92673 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.

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 Alma Sanchez's NPI number?

The NPI number for Alma Sanchez is 1558757799. It was assigned to this individual provider in the NPPES registry on April 14, 2015.

Where is Alma Sanchez located?

Alma Sanchez practices at 638 Camino De Los Mares, Suite D4, San Clemente, CA 92673. The listed phone number is (949) 542-8865.

What is Alma Sanchez's specialty?

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

Is Alma Sanchez enrolled in Medicare?

Yes. Alma Sanchez 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 Alma Sanchez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alma Sanchez reassigns Medicare benefits to 2 organizations: Memorialcare Medical Foundation (Fountain Valley, CA) and Marin City Health And Wellness Center (Sausalito, 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 Alma Sanchez'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 Alma Sanchez was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.