DR. ARGELIA SANDOVAL MD
NPI 1912092719
Internal Medicine - Critical Care Medicine in Duarte, CA

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
99.12/100
CMS Quality Rating
1500 E DUARTE RD, DUARTE, CA 91010(626) 359-8111 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 20, 2022, Dec 2, 2020, Nov 9, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Argelia Sandoval Md NPPES

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

DR. ARGELIA SANDOVAL MD (NPI 1912092719) is an individual critical care medicine provider in Duarte, California, licensed in California (A65131) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (1996).

NPPES Registry Identity

NPI1912092719
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameDR. ARGELIA SANDOVALCredential: MD
Location Address1500 E DUARTE RDDuarte, CA 91010
Mailing AddressPo Box 512185Los Angeles, CA 90051-0185
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1996
Enumeration DateOctober 4, 2006
Last NPPES UpdateApril 20, 20224 updates tracked since enumeration
NPPES CertifiedApril 20, 2022
NPI 1912092719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in CA · A65131
Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License A65131 (CA)
1500 E DUARTE RD, Duarte, CA 91010

Other Identifiers 1

Medicaid00A651310CA

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

Dr. Argelia Sandoval Md 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 ID2668378928
PECOS Enrollment IDI20031209000439
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 15

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.
153 services107 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
116 services59 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
101 services100 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
93 services92 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
54 services54 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
50 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91010 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
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.23
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers11 claims11 services$10.34 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers12 claims72 services$1.79 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier37 claims37 services$3.90 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers30 claims30 services$65.76 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier18 claims18 services$32.36 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$29.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Anesthesiology
1500 E DUARTE RD
DUARTE, CA 91010
Anesthesiology
1500 E DUARTE RD
DUARTE, CA 91010
Radiology (Diagnostic Radiology)
1500 E DUARTE RD
DUARTE, CA 91010
Radiology (Diagnostic Radiology)
1500 E DUARTE RD
DUARTE, CA 91010
Pathology (Molecular Genetic Pathology)
1500 E DUARTE RD
DUARTE, CA 91010
Psychologist
1500 E DUARTE RD
DUARTE, CA 91010
Psychologist
1500 E DUARTE RD
DUARTE, CA 91010
Surgery (Surgical Oncology)
1500 E DUARTE RD
DUARTE, CA 91010

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 Argelia Sandoval's NPI number?

The NPI number for Argelia Sandoval is 1912092719. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Argelia Sandoval located?

Argelia Sandoval practices at 1500 E Duarte Rd, Duarte, CA 91010. The listed phone number is (626) 359-8111.

What is Argelia Sandoval's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Argelia Sandoval enrolled in Medicare?

Yes. Argelia Sandoval 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 Argelia Sandoval was last updated on April 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.