MS. TONI MARIE SANDERS (PAC) – Physician Assistant, NPI 1396809752

MS. TONI MARIE SANDERS (PAC) is a healthcare provider. based in Riverside, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. PA 18625 (CA). The NPI Number for MS. TONI MARIE SANDERS (PAC) is 1396809752

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MS. TONI MARIE SANDERS (PAC)
NPI
1396809752
Phone
(951) 697-5611
Address
7117 BROCKTON AVE
Enumeration Date
20 December 2006
Last Update Date
15 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2006 (20 years ago)
PAC ID
5496857823
Group Practice PAC ID
2961492327
Professional Enrollment ID
I20070302000404
Address ID
CA925063987RI3660XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

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Provider Addresses for MS. TONI MARIE SANDERS (PAC)

  • 7117, Brockton Avenue, Riverside, Riverside County, California, 92506, United States

    RIVERSIDE, CA 925062658

    Phone: (951) 697-5611

    Type: Mailing

  • 12810 Heacock St Ste B206

    Moreno Valley, CA 925533170

    Phone: (951) 485-5155

    Type: Location

  • 7117 Brockton Ave

    Riverside, CA 925062658

    Phone: (951) 697-5611

    Fax: (951) 697-5565

    Type: Location

  • 12742 LIMONITE AVE

    EASTVALE, CA 928809630

    Phone: (951) 739-2746

    Fax: (951) 371-6586

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $127.

Total Amount is formed as General ($127) + Research ($0) + Ownership ($0) = $127.

Last reported payment date: 2024-05-02 • Largest payer in this snapshot: Kyowa Kirin, Inc. ($29).

Total Amount

$127

General + Research + Ownership

Payments

6

Total payment records

General Amount

$127

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-02

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: 2007-03-02

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
I20070302000404IPhysician AssistantCATBD

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 92506)

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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: 2961492327View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
-CA
-CA
Internal MedicineCA
Dermatology, Micrographic Dermatologic Surgery (Mds)CA
Internal MedicineCA
Family PracticeCA
Family PracticeCA
Internal MedicineCA
Family PracticeCA

Reviews

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Frequently asked questions

How is MS. TONI MARIE SANDERS (PAC) identified in CMS data?
CMS-hosted NPPES data lists MS. TONI MARIE SANDERS (PAC) with NPI 1396809752.
Does CMS list MS. TONI MARIE SANDERS (PAC) as active?
Yes — MS. TONI MARIE SANDERS (PAC) is active in the NPI listing used on this page.
What is MS. TONI MARIE SANDERS (PAC)'s primary classification?
Physician Assistant is the headline specialty for MS. TONI MARIE SANDERS (PAC) here. Clinical services aligned with this taxonomy classification.
What address line appears for MS. TONI MARIE SANDERS (PAC)?
MS. TONI MARIE SANDERS (PAC)'s geographic hint is Riverside, California in our summary view.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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