Sergio Sandoval, OTD, OTR/L - Medicare Occupational Therapist in Playa Vista, CA

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Sergio Sandoval, OTD, OTR/L is a medicare enrolled "Occupational Therapist" provider in Playa Vista, California. His current practice location is 6565 Crescent Park W Apt 408, Playa Vista, California. You can reach out to his office (for appointments etc.) via phone at (323) 206-2507.

Sergio Sandoval is licensed to practice in California (license number 14227) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1871983957.

Contact Information

Sergio Sandoval, OTD, OTR/L
6565 Crescent Park W Apt 408,
Playa Vista, CA 90094-2286
(323) 206-2507
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameSergio Sandoval
GenderMale
SpecialityOccupational Therapist
Location6565 Crescent Park W Apt 408, Playa Vista, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871983957
  • Provider Enumeration Date: 01/28/2015
  • Last Update Date: 12/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0749501559
  • Enrollment ID: I20150604002999

Medical Identifiers

Medical identifiers for Sergio Sandoval such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871983957NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 14227 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sergio Sandoval allows following entities to bill medicare on his behalf.
Provider NameSouthern California Permanente Medical Group
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sergio Sandoval is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sergio Sandoval, OTD, OTR/L
6565 Crescent Park W Apt 408,
Playa Vista, CA 90094-2286

Ph: (323) 206-2507		Sergio Sandoval, OTD, OTR/L
6565 Crescent Park W Apt 408,
Playa Vista, CA 90094-2286

Ph: (323) 206-2507

Reviews and Comments


Occupational Therapist in Playa Vista, CA

Greg Dolmage, OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 12490 W Fielding Cir Apt 174, Playa Vista, CA 90094
Phone: 424-216-7239    
Ms. Shiksha D Hingorani, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 5625 Crescent Park W, Unit #134, Playa Vista, CA 90094
Phone: 310-367-5661    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.