MARIA DE JESUS SANDOVAL MS.,CCC-SLP
NPI 1790921500
Speech-Language Pathologist in Modesto, CA
About Maria De Jesus Sandoval Ms.,ccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIA DE JESUS SANDOVAL MS.,CCC-SLP (NPI 1790921500) is an individual speech-language pathologist provider in Modesto, California, licensed in California (14603) and active in the NPI registry since December 2008.
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)
Maria De Jesus Sandoval Ms.,ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Maria Sandoval reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 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 95356
MODESTO, CA 95356
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 Maria Sandoval's NPI number?
The NPI number for Maria Sandoval is 1790921500. It was assigned to this individual provider in the NPPES registry on December 29, 2008.
Where is Maria Sandoval located?
Maria Sandoval practices at 4601 Dale Rd, Modesto, CA 95356. The listed phone number is (209) 735-5000.
What is Maria Sandoval's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Maria Sandoval enrolled in Medicare?
Yes. Maria Sandoval is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Maria Sandoval's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maria Sandoval reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, 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 Maria 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 Maria Sandoval was last updated on January 3, 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.
# Maria De Jesus Sandoval, MS.,CCC-SLP · NPI 1790921500
Speech-Language Pathologist provider in Modesto, California. Individual provider, active in the CMS NPPES registry since December 29, 2008.
## Identity
- **NPI:** 1790921500 (Entity type: Individual)
- **Enumerated:** December 29, 2008
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 14603 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4601 DALE RD, Modesto, CA 95356-9718
- **Phone:** (209) 735-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1790921500) · Data from the CMS NPPES public registry.