Pedro Miguel Sandoval, DDS - Medicare Dentist in Rialto, CA

Pedro Miguel Sandoval, DDS is a medicare enrolled "Dentist" provider in Rialto, California. His current practice location is 432 N Riverside Ave, Rialto, California. You can reach out to his office (for appointments etc.) via phone at (909) 874-2121.

Pedro Miguel Sandoval is licensed to practice in California (license number 49402) 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 1194941245.

Contact Information

Pedro Miguel Sandoval, DDS
432 N Riverside Ave,
Rialto, CA 92376-5012
(909) 874-2121
(909) 874-2122



Healthcare Provider's Profile

Full NamePedro Miguel Sandoval
GenderMale
SpecialityDentist
Location432 N Riverside Ave, Rialto, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194941245
  • Provider Enumeration Date: 04/17/2007
  • Last Update Date: 04/03/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8820331812
  • Enrollment ID: I20190514002451

Medical Identifiers

Medical identifiers for Pedro Miguel Sandoval such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194941245NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 49402 (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. Pedro Miguel Sandoval allows following entities to bill medicare on his behalf.
Entity NamePedro M Sandoval Dds Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043590060
PECOS PAC ID: 7911240908
Enrollment ID: O20190514002392

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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. Pedro Miguel 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
Pedro Miguel Sandoval, DDS
432 N Riverside Ave,
Rialto, CA 92376-5012

Ph: (909) 874-2121
Pedro Miguel Sandoval, DDS
432 N Riverside Ave,
Rialto, CA 92376-5012

Ph: (909) 874-2121

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Dentist in Rialto, CA

Dr. Blanca Virginia Toledo, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 326 N Riverside Ave, Rialto, CA 92376
Phone: 909-875-1464    Fax: 909-875-1464
Dr. Phat M Duong, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1629 S Riverside Ave, Rialto, CA 92376
Phone: 909-421-2225    Fax: 909-421-2099
Dr. Evan Stuart Halpern, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 1727 N Riverside Ave, Rialto, CA 92376
Phone: 909-820-9413    
Dr. Jorge Alfredo Flores, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 249 W Foothill Blvd, Rialto, CA 92376
Phone: 909-820-2420    
Dr. Erica Wu, DDS MS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1205 Renaissance Pkwy Ste 240, Rialto, CA 92376
Phone: 714-616-4800    
Dr. Dipti C Loomba, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1629 S Riverside Ave, Rialto, CA 92376
Phone: 909-421-2225    Fax: 909-421-2099
Dr. Julie Tang,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1817 N Riverside Ave, Rialto, CA 92376
Phone: 909-879-1024    Fax: 909-879-1058

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