MR. SERGIO BAUTISTA SANDOVAL LMFT
NPI 1841608726
Marriage & Family Therapist in Redwood City, CA

Active since July 23, 2014PECOS Enrolled
1400 VETERANS BLVD, REDWOOD CITY, CA 94063(650) 299-6008 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 27, 2021, May 19, 2020 (2 updates tracked since 2020).

About Mr. Sergio Bautista Sandoval Lmft NPPES

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

MR. SERGIO BAUTISTA SANDOVAL LMFT (NPI 1841608726) is an individual marriage & family therapist in Redwood City, California, licensed in California (111726) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841608726
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. SERGIO BAUTISTA SANDOVALCredential: LMFT
Location Address1400 VETERANS BLVDRedwood City, CA 94063-2612
Mailing Address60 Rivas AveSan Francisco, CA 94132-2139 · (714) 323-8079
Sole ProprietorYes
Enumeration DateJuly 23, 2014
Last NPPES UpdateDecember 27, 20212 updates tracked since enumeration
NPPES CertifiedDecember 27, 2021
✔ NPI 1841608726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 111726
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1400 VETERANS BLVD, Redwood City, CA 94063

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Sergio Bautista Sandoval Lmft 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 Sergio Sandoval reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
9100 ROSEDALE HWY
Bakersfield, CA 93312
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1275756652 (California)
  • 5,228 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.

Psychologist
1400 VETERANS BLVD
REDWOOD CITY, CA 94063
Physical Therapist
1400 VETERANS BLVD
REDWOOD CITY, CA 94063
Psychologist (Clinical)
1400 VETERANS BLVD
REDWOOD CITY, CA 94063
Physical Therapist
1400 VETERANS BLVD
REDWOOD CITY, CA 94063
Social Worker (Clinical)
1400 VETERANS BLVD, 3RD FLOOR
REDWOOD CITY, CA 94063
Counselor (Mental Health)
1400 VETERANS BLVD
REDWOOD CITY, CA 94063
Physical Therapist
1400 VETERANS BLVD, 2ND FLOOR
REDWOOD CITY, CA 94063
Physician Assistant
1400 VETERANS BLVD
REDWOOD CITY, CA 94063

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 Sergio Sandoval's NPI number?

The NPI number for Sergio Sandoval is 1841608726. It was assigned to this individual provider in the NPPES registry on July 23, 2014.

Where is Sergio Sandoval located?

Sergio Sandoval practices at 1400 Veterans Blvd, Redwood City, CA 94063. The listed phone number is (650) 299-6008.

What is Sergio Sandoval's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Sergio Sandoval enrolled in Medicare?

Yes. Sergio Sandoval is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sergio Sandoval's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sergio Sandoval reassigns Medicare benefits to Southern California Permanente Medical Group (Bakersfield, 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 Sergio 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 Sergio Sandoval was last updated on December 27, 2021. 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.