SANDRA PHILOMENA FALLON M.D.
NPI 1801947312
Internal Medicine - Cardiovascular Disease in Santa Monica, CA

Active since January 13, 2007PECOS EnrolledAccepts Medicare Assignment
2020 SANTA MONICA BLVD, SUITE 580, SANTA MONICA, CA 90404(310) 453-4455(310) 453-8833 Get Directions Write a Review

NPPES record last updated: January 21, 2011. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Sandra Philomena Fallon M.d. NPPES

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

SANDRA PHILOMENA FALLON M.D. (NPI 1801947312) is an individual cardiovascular disease provider in Santa Monica, California, licensed in California (A46060) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1801947312
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameSANDRA PHILOMENA FALLONCredential: M.D.
Location Address2020 SANTA MONICA BLVD, SUITE 580Santa Monica, CA 90404-2023
Mailing Address2020 Santa Monica Blvd, Suite 580Santa Monica, CA 90404-2023 · (310) 453-4455 · Fax (310) 453-8833
Fax(310) 453-8833
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateJanuary 13, 2007
Last NPPES UpdateJanuary 21, 2011
NPI 1801947312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in CA · A46060
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2020 SANTA MONICA BLVD, Santa Monica, CA 90404

Other Identifiers 3

OtherWA46060ECA · Ppin
OtherA46060CA · Ca State License
Medicare ID-Type UnspecifiedW18258CA · Group Id

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sandra Philomena Fallon 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 ID8729046586
PECOS Enrollment IDI20050113001140
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
269 services130 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
215 services117 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
95 services95 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
84 services82 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
83 services77 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
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.

Pharmacist
2020 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Physician Assistant (Surgical)
2020 SANTA MONICA BLVD, SUITE 400
SANTA MONICA, CA 90404
Dermatology
2020 SANTA MONICA BLVD, 510
SANTA MONICA, CA 90404
Physician Assistant
2020 SANTA MONICA BLVD, SUITE 400
SANTA MONICA, CA 90404
Pharmacist (Oncology)
2020 SANTA MONICA BLVD, SUITE 600
SANTA MONICA, CA 90404
Physical Therapist (Orthopedic)
2020 SANTA MONICA BLVD, SUITE 401
SANTA MONICA, CA 90404
Nutritionist (Nutrition, Education)
2020 SANTA MONICA BLVD, 5TH FLOOR, SUITE 550
SANTA MONICA, CA 90404
Internal Medicine (Rheumatology)
2020 SANTA MONICA BLVD, STE. 540
SANTA MONICA, CA 90404

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 Fallon's NPI number?

The NPI number for Sandra Fallon is 1801947312. It was assigned to this individual provider in the NPPES registry on January 13, 2007.

Where is Sandra Fallon located?

Sandra Fallon practices at 2020 Santa Monica Blvd Suite 580, Santa Monica, CA 90404. The listed phone number is (310) 453-4455.

What is Sandra Fallon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sandra Fallon enrolled in Medicare?

Yes. Sandra Fallon 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.

When was this NPI record last updated?

The NPPES record for Sandra Fallon was last updated on January 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.