NOAH SAKAMOTO (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1205418779

NOAH SAKAMOTO (PMHNP) is a healthcare provider. based in Yorba linda, California. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 760050 (CA). The NPI Number for NOAH SAKAMOTO (PMHNP) is 1205418779

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
NOAH SAKAMOTO (PMHNP)
NPI
1205418779
Phone
(714) 488-9976
Address
4601 Avenida De Las Estrell
Enumeration Date
24 April 2021
Last Update Date
19 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9497227118
Graduation Year
2021 (5 years ago)
PAC ID
5597122523
Group Practice PAC ID
9032266127
Professional Enrollment ID
I20230607001695
Address ID
CA926146041IR17782COWA201
Telehealth
Yes

Contacts

SOAP Endpoint
www.snswellbeing.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:5State licenses:2Other namesUpdated within 12 months

16,360 NURSE PRACTITIONER in CA

Provider Addresses for NOAH SAKAMOTO (PMHNP)

  • 4601 Avenida De Las Estrell

    Yorba Linda, CA 928863102

    Phone: (714) 488-9976

    Type: Location

  • 312 Broadway St Ste 202

    Laguna Beach, CA 926514331

    Phone: (855) 206-3521

    Type: Location

  • 1048 IRVINE AVE # 1056

    NEWPORT BEACH, CA 926604602

    Phone:

    Type: Mailing

  • 301 VICTORIA ST

    COSTA MESA, CA 926271995

    Phone:

    Type: Mailing

  • 4601 AVENIDA DE LAS ESTRELL

    YORBA LINDA, CA 928863102

    Phone: (714) 488-9976

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $121.

Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.

Last reported payment date: 2023-08-03 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($121).

Total Amount

$121

General + Research + Ownership

Payments

1

Total payment records

General Amount

$121

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-06-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230607001695INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92886)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032266127View full group profile
NameSpecialtyState
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerID
Nurse PractitionerCA
Nurse PractitionerCA
-CA
P S Y C H I A T R YCA
Nurse PractitionerCA
-CA

Reviews

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Frequently asked questions

How do I look up NOAH SAKAMOTO (PMHNP) by NPI?
Use NPI 1205418779 when you need to reference NOAH SAKAMOTO (PMHNP) in forms, claims, or directories.
Is NOAH SAKAMOTO (PMHNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does NOAH SAKAMOTO (PMHNP) work in?
You can think of NOAH SAKAMOTO (PMHNP) as practicing within Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for NOAH SAKAMOTO (PMHNP)?
We surface Yorba Linda, California for NOAH SAKAMOTO (PMHNP) based on available NPPES addresses.
Is NOAH SAKAMOTO (PMHNP) a real provider?
This page reflects official NPPES data for NPI 1205418779. Always confirm identity and privileges with the practice and licensing boards.

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