KIA SANFORD D.O.
NPI 1942682398
Pediatrics in Stockton, CA

Active since June 22, 2015PECOS EnrolledAccepts Medicare Assignment
1031 WATERLOO RD, STOCKTON, CA 95205(209) 940-5600 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 19, 2023, Aug 25, 2019 (2 updates tracked since 2019).

About Kia Sanford D.o. NPPES

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

KIA SANFORD D.O. (NPI 1942682398) is an individual pediatrics provider in Stockton, California, licensed in California (20A20601) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1942682398
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKIA SANFORDCredential: D.O.
Location Address1031 WATERLOO RDStockton, CA 95205-4256
Mailing Address1031 Waterloo RdStockton, CA 95205-4256 · (209) 940-5600
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJune 22, 2015
Last NPPES UpdateJanuary 19, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2023
NPI 1942682398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in CA · 20A20601
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1031 WATERLOO RD, Stockton, CA 95205

Secondary Practice Locations 2

Location 1260 Beach 81st St, Apt 1ERockaway Beach, NY 11693-1902 · Phone (707) 364-8394
Location 21295 W Fairfield DrPensacola, FL 32501-1107 · Phone (707) 210-6767

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

Kia Sanford D.o. 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 ID9830443589
PECOS Enrollment IDI20230223002290
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 95205 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 20

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

Dental Hygienist
1031 WATERLOO RD
STOCKTON, CA 95205
Community Health Worker
1031 WATERLOO RD
STOCKTON, CA 95205
Nurse Practitioner (Pediatrics)
1031 WATERLOO RD
STOCKTON, CA 95205
Family Medicine
1031 WATERLOO RD
STOCKTON, CA 95205
Dentist (General Practice)
1031 WATERLOO RD
STOCKTON, CA 95205
Clinic/Center (Federally Qualified Health Center (FQHC))
1031 WATERLOO RD
STOCKTON, CA 95205
Family Medicine
1031 WATERLOO RD
STOCKTON, CA 95205
Case Manager/Care Coordinator
1031 WATERLOO RD
STOCKTON, CA 95205

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 Kia Sanford's NPI number?

The NPI number for Kia Sanford is 1942682398. It was assigned to this individual provider in the NPPES registry on June 22, 2015.

Where is Kia Sanford located?

Kia Sanford practices at 1031 Waterloo Rd, Stockton, CA 95205. The listed phone number is (209) 940-5600.

What is Kia Sanford's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kia Sanford enrolled in Medicare?

Yes. Kia Sanford 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 Kia Sanford was last updated on January 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.