Mrs Jazel Ruivivar Sambo, NP - Medicare Nurse Practitioner in Carlsbad, CA

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Mrs Jazel Ruivivar Sambo, NP is a medicare enrolled "Nurse Practitioner" physician in Carlsbad, California. Her current practice location is 2510 El Camino Real, Carlsbad, California. You can reach out to her office (for appointments etc.) via phone at (760) 729-8941.

Mrs Jazel Ruivivar Sambo is licensed to practice in California (license number NP95012694) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043860844.

Contact Information

Mrs Jazel Ruivivar Sambo, NP
2510 El Camino Real,
Carlsbad, CA 92008-1273
(760) 729-8941
Not Available

Map and Direction




Physician's Profile

Full NameMrs Jazel Ruivivar Sambo
GenderFemale
SpecialityNurse Practitioner
Location2510 El Camino Real, Carlsbad, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043860844
  • Provider Enumeration Date: 09/13/2019
  • Last Update Date: 01/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4789097635
  • Enrollment ID: I20210113002522

Medical Identifiers

Medical identifiers for Mrs Jazel Ruivivar Sambo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043860844NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 95012694 (California)Secondary
363LF0000XNurse Practitioner - Family 95012694 (California)Secondary
363L00000XNurse Practitioner NP95012694 (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. Mrs Jazel Ruivivar Sambo allows following entities to bill medicare on her behalf.
Entity NameRegents Of The University Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578672184
PECOS PAC ID: 3577476761
Enrollment ID: O20031211000464
Entity NameMinuteclinic Diagnostic Medical Group Of San Diego Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568659233
PECOS PAC ID: 2567520414
Enrollment ID: O20090127000249
Entity NameUc San Diego Health Community Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659864247
PECOS PAC ID: 3971849175
Enrollment ID: O20190109000943

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. Mrs Jazel Ruivivar Sambo 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
Mrs Jazel Ruivivar Sambo, NP
Po Box 232410,
San Diego, CA 92193-2410

Ph: () -		Mrs Jazel Ruivivar Sambo, NP
2510 El Camino Real,
Carlsbad, CA 92008-1273

Ph: (760) 729-8941

Reviews and Comments



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.