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DR. ROBERTA EFOMON IYAMU
NPI 1710596762
Nurse Practitioner - Psychiatric/Mental Health in Sacramento, CA

Active since July 27, 2020PECOS Enrolled
350 UNIVERSITY AVE STE 102, SACRAMENTO, CA 95825(844) 867-8444 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 10, 2022, Jul 27, 2020 (2 updates tracked since 2020).

About Dr. Roberta Efomon Iyamu NPPES

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

DR. ROBERTA EFOMON IYAMU (NPI 1710596762) is an individual psychiatric/mental health provider in Sacramento, California, licensed in California (9501954) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710596762
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. ROBERTA EFOMON IYAMU
Location Address350 UNIVERSITY AVE STE 102Sacramento, CA 95825-6516
Mailing Address7700 Folsom BlvdSacramento, CA 95826-2608 · (844) 867-8444
Phone(844) 867-8444
Sole ProprietorNo
Enumeration DateJuly 27, 2020
Last NPPES UpdateAugust 10, 20222 updates tracked since enumeration
NPPES CertifiedJuly 27, 2020
✔ NPI 1710596762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 9501954
350 UNIVERSITY AVE STE 102, Sacramento, CA 95825
Open in Google Maps ↗

Other Identifiers 1

Other1710596762CA · Nppes

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Roberta Efomon Iyamu 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 Reassignments

2

Medicare enrollment records show Roberta Iyamu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grow Healthcare Group PC
89 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385
Sondermind PC
94 mi
Clinical
6203 SAN IGNACIO AVE STE 110
San Jose, CA 95119
  • Reassigned Medicare billing, California enrollment
  • 81 clinicians in this Medicare group
NPI 1003646977 (844) 843-7279

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 95825 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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 Roberta Iyamu's NPI number?

The NPI number for Roberta Iyamu is 1710596762. It was assigned to this individual provider in the NPPES registry on July 27, 2020.

Where is Roberta Iyamu located?

Roberta Iyamu practices at 350 University Ave Ste 102, Sacramento, CA 95825. The listed phone number is (844) 867-8444.

What is Roberta Iyamu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Roberta Iyamu enrolled in Medicare?

Yes. Roberta Iyamu is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Roberta Iyamu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roberta Iyamu reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PC (San Jose, CA) and Sondermind PC (San Jose, 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 Roberta Iyamu'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 Roberta Iyamu was last updated on August 10, 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.