SANDRA M. ZAVALA (FNP) – Nurse Practitioner, NPI 1710275425
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for SANDRA M. ZAVALA (FNP)
10700 E GEDDES AVE
SUITE 200
ENGLEWOOD, CO 801123800
Phone: (303) 761-9190
Fax: (303) 761-6278
Type: Mailing
3401 CENTRE LAKE DR STE 470
ONTARIO, CA 917611254
Phone: (909) 566-0445
Type: Location
12457 ROSE PATH CIR
FAIRFAX, VA 220336235
Phone: (703) 728-3338
Type: Mailing
9404A MAIN ST
FAIRFAX, VA 220314032
Phone: (571) 404-6974
Fax: (571) 404-6975
Type: Location
11711 LIVINGSTON RD
FORT WASHINGTON, MD 207445151
Phone: (909) 566-0445
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-10-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120106000658 | I | Nurse Practitioner | VA | TBD |
| I20130327000402 | I | Nurse Practitioner | DC | TBD |
| I20180309000953 | I | Nurse Practitioner | CA | TBD |
| I20241017001775 | I | Nurse Practitioner | MD | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 11 | 11 | $0 |
Insurance plans in this area (ZIP 80112)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | DC | |
| Internal Medicine, General Practice | VA | |
| Physician Assistant | MD | |
| Physician Assistant | VA | |
| Physician Assistant | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Physician Assistant | VA |
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