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SANDRA ESCOBEDO
NPI 1639577109
Social Worker - Clinical in Gardena, CA

Active since December 15, 2014PECOS Enrolled
108 W VICTORIA ST, GARDENA, CA 90248(310) 715-2020 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 4, 2024, Jan 22, 2021 (2 updates tracked since 2021).

About Sandra Escobedo NPPES

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

SANDRA ESCOBEDO (NPI 1639577109) is an individual clinical provider in Gardena, California, licensed in California (99513) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639577109
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSANDRA ESCOBEDO
Location Address108 W VICTORIA STGardena, CA 90248-3523
Mailing Address3909 E 56th StMaywood, CA 90270-2703 · (323) 979-3834
Phone(310) 715-2020
Sole ProprietorNo
Enumeration DateDecember 15, 2014
Last NPPES UpdateNovember 4, 20242 updates tracked since enumeration
NPPES CertifiedOctober 30, 2024
✔ NPI 1639577109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 99513
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License ASW63218 (CA)
108 W VICTORIA ST, Gardena, CA 90248
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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)

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

Southern California Permanente Medical Group
4.7 mi
Health Maintenance Organization
2700 W 120TH ST
Hawthorne, CA 90250
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1164914115 (877) 608-0044

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 90248 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
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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.

GERARDO GOMEZ
Rehabilitation Practitioner
108 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
VANESSA AVILA
Rehabilitation Practitioner
108 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
JUSTIN A PARNELL
Occupational Therapist
108 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
AMBER KAI PARKER RBT
Rehabilitation Practitioner
108 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
ELISA ANGELINE WRIGHT ADAMS
Student in an Organized Health Care Education/Training Program
108 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
MR. JOSE D, FERNANDEZ
Rehabilitation Practitioner
108 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
MRS. IVA SVETLIKOVA M.S. MFT
Marriage & Family Therapist
108 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
MRS. SAYO MATSUDA
Marriage & Family Therapist
108 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (424) 757-4226

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 Sandra Escobedo's NPI number?

The NPI number for Sandra Escobedo is 1639577109. It was assigned to this individual provider in the NPPES registry on December 15, 2014.

Where is Sandra Escobedo located?

Sandra Escobedo practices at 108 W Victoria St, Gardena, CA 90248. The listed phone number is (310) 715-2020.

What is Sandra Escobedo's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Sandra Escobedo enrolled in Medicare?

Yes. Sandra Escobedo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sandra Escobedo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Escobedo reassigns Medicare benefits to Southern California Permanente Medical Group (Hawthorne, 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 Sandra Escobedo'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 Sandra Escobedo was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.