SARA SAN PEDRO
NPI 1821874876
Nurse Practitioner - Family in Ventura, CA

Active since September 06, 2023PECOS EnrolledAccepts Medicare Assignment
200 S WELLS RD STE 100, VENTURA, CA 93004(805) 647-6322 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2024, Oct 10, 2023, Oct 4, 2023 and 1 more (4 updates tracked since 2023).

About Sara San Pedro NPPES

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

SARA SAN PEDRO (NPI 1821874876) is an individual family provider in Ventura, California, licensed in California (95029042) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1821874876
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSARA SAN PEDRO
Location Address200 S WELLS RD STE 100Ventura, CA 93004-1378
Mailing Address1040 Flynn RdCamarillo, CA 93012-5092 · (805) 673-3930
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 6, 2023
Last NPPES UpdateJune 4, 20244 updates tracked since enumeration
NPPES CertifiedJune 4, 2024
NPI 1821874876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in CA · 95029042 Licensed in NH · 092485-23
Also ListedRegistered NurseTaxonomy 163W00000X · License 310168 (NC)
200 S WELLS RD STE 100, Ventura, CA 93004

Other Names 1

Former Name (1)Sara Maffet

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

Sara San Pedro 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 ID2961945431
PECOS Enrollment IDI20240625002306
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93004 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
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.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
200 S WELLS RD STE 100
VENTURA, CA 93004
Family Medicine
200 S WELLS RD STE 100
VENTURA, CA 93004
Family Medicine
200 S WELLS RD STE 100
VENTURA, CA 93004
Physician Assistant
200 S WELLS RD STE 100
VENTURA, CA 93004
Physician Assistant
200 S WELLS RD STE 100, CLINICAS DEL CAMINO REAL INC
VENTURA, CA 93004
Nurse Practitioner (Family)
200 S WELLS RD STE 100
VENTURA, CA 93004
Dentist
200 S WELLS RD STE 100
VENTURA, CA 93004
Pediatrics
200 S WELLS RD STE 100
VENTURA, CA 93004

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 Sara San Pedro's NPI number?

The NPI number for Sara San Pedro is 1821874876. It was assigned to this individual provider in the NPPES registry on September 6, 2023. The provider is also known as Sara Maffet.

Where is Sara San Pedro located?

Sara San Pedro practices at 200 S Wells Rd Ste 100, Ventura, CA 93004. The listed phone number is (805) 647-6322.

What is Sara San Pedro's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sara San Pedro enrolled in Medicare?

Yes. Sara San Pedro 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 Sara San Pedro was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.