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

Q: 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.

Q: What is Kia Sanford's specialty?

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

Q: 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.

Active since June 22, 2015PECOS Enrolled

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: October 18, 2026.

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

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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 and maintains 2 additional practice locations.

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

Phone(209) 940-5600

Sole ProprietorYes

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1031 WATERLOO RD, Stockton, CA 95205

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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kia Sanford D.o. 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 Kia Sanford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Medical Centers, Inc

Same address

Federally Qualified Health Center (FQHC)

1031 WATERLOO RD
Stockton, CA 95205

Reassigned Medicare billing, California enrollment
154 clinicians in this Medicare group

NPI 1285059923 (209) 940-5600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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