Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Sandra Limon , NP

Nurse Practitioner • Hesperia, CA

Active NPI 1316493406 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

12021 Jacaranda Ave Ste 101
Hesperia, CA 923454978

Call 7609565057 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

12021 Jacaranda Ave Ste 101

Hesperia, CA 923454978

Telephone 7609565057
Fax 7609482179
Organization at the Same NPPES Address or Phone
Keen Medical Group, Inc. Facility NPI 1053456962

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Apple Valley, CA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Onclick Healthcare Incorporated. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2015

30-day fills

4,553 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$201,086 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $324.38 across 16 records.

By nature of payment

  • Food and Beverage: $324.38 across 16 records.

Reporting-company totals (3 largest of 6)

  • Novo Nordisk Inc: $135.05 across 8 records.
  • Eli Lilly and Company: $81.68 across 3 records.
  • Exact Sciences Corporation: $39.57 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

11 years (graduated 2015)

CMS Doctors and Clinicians data list 2015 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Sandra Limon has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Sandra Limon as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Hesperia and California

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 90% of clinicians listed under Nurse Practitioner in California (2024, 3,227 clinicians with data). Median for this group: 247. Middle half: 63 to 849.

Too few clinicians listed under Nurse Practitioner in Hesperia have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 80% of clinicians listed under Nurse Practitioner in California (2024, 3,227 clinicians with data). Median for this group: $13,810. Middle half: $983 to $119,807.

Too few clinicians listed under Nurse Practitioner in Hesperia have Medicare Part D data for 2024 to compare.

6 active clinicians are listed under Nurse Practitioner with a practice address in Hesperia, CA (8,363 in California).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 16 records totaling $324.38.

Manufacturer Payment Nature Product Type Amount ($)
Eli Lilly and Company
Food and Beverage
In-kind items and services
MOUNJARO General $31.70
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
GARDASIL 9 General $26.72
Eli Lilly and Company
Food and Beverage
In-kind items and services
MOUNJARO General $26.15
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Wegovy General $24.04
Eli Lilly and Company
Food and Beverage
In-kind items and services
MOUNJARO General $23.83
Dexcom, Inc.
Food and Beverage
In-kind items and services
Dexcom G6 Transmitter General $22.02
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Rybelsus General $21.91
Exact Sciences Corporation
Food and Beverage
In-kind items and services
Cologuard Collection Kit General $21.52
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Ozempic General $19.69
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
BREZTRI General $19.34
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Ozempic General $19.26
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Wegovy General $18.36
Exact Sciences Corporation
Food and Beverage
In-kind items and services
Cologuard Collection Kit General $18.05
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Rybelsus General $15.64
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Ozempic General $9.65
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Rybelsus General $6.50

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 229 17,940 $2,017.26 82
Metformin Hcl Metformin Hcl 205 15,135 $1,498.73 68
Lisinopril Lisinopril 157 10,635 $1,026.77 47
Losartan Potassium Losartan Potassium 149 11,070 $1,319.56 47
Amlodipine Besylate Amlodipine Besylate 79 6,148 $512.01 31
Hydrochlorothiazide Hydrochlorothiazide 73 5,700 $173.49 25
Gabapentin Gabapentin 72 5,160 $864.67 33
Levothyroxine Sodium Levothyroxine Sodium 67 5,490 $1,154.02 26
Mounjaro Tirzepatide 65 1,848 $66,438.85 —
Lisinopril-Hydrochlorothiazide Lisinopril/Hydrochlorothiazide 59 4,109 $621.98 16
Omeprazole Omeprazole 58 4,620 $653.43 27
Januvia Sitagliptin Phosphate 57 2,040 $35,461.67 —
Gemfibrozil Gemfibrozil 54 3,948 $885.08 23
Simvastatin Simvastatin 53 4,230 $577.25 17
Losartan-Hydrochlorothiazide Losartan/Hydrochlorothiazide 46 3,930 $866.35 17
Albuterol Sulfate Hfa Albuterol Sulfate 45 1,382 $1,443.18 16
Rybelsus Semaglutide 36 1,380 $41,898.35 —
Ibuprofen Ibuprofen 35 1,530 $343.51 21
Tamsulosin Hcl Tamsulosin Hcl 26 1,530 $251.42 11
Metoprolol Tartrate Metoprolol Tartrate 25 1,950 $129.14 11
Atenolol Atenolol 24 1,920 $156.03 —
Carvedilol Carvedilol 24 1,380 $102.97 —
Furosemide Furosemide 23 870 $75.68 —
Trazodone Hcl Trazodone Hcl 22 840 $92.36 —
Tradjenta Linagliptin 22 660 $10,800.42 —

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES CA 95003484

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20171019002782

Enrollment State Jurisdiction

CA

PECOS Control ID

1052687928

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Onclick Healthcare Incorporated

None, Calabasas, CA 91302

Phone: 8182302116

Secondary Practice Locations

16085 Tuscola Rd, Suite 2 And 3

Apple Valley, CA 923073394

Phone: 7608100301

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Dr. Arlene Braham , MD

General Practice

NPI 1447362462

Doctor of Medicine (M.D.)

Pamela Bryant

Nurse Practitioner - Family

NPI 1962788067
Dr. Samuel Wilson , MD

Emergency Medicine

NPI 1912948019

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
📍
Updated Practice Location December 01, 2021

Registered at 12021 JACARANDA AVE STE 101, HESPERIA, CA 923454978 (Tel: 7609565057)

🏢
Secondary Practice Location Registered December 01, 2021

Additional practice office at 16085 Tuscola Rd, SUITE 2 AND 3, Apple Valley, CA 923073394

✅
NPI Profile Active October 13, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address October 13, 2017

Registered at 12021 JACARANDA AVE STE 101, HESPERIA, CA 923454978 (Tel: 7609565057)

📍
Updated Practice Location October 13, 2017

Registered at 16085 TUSCOLA RD, SUITE 2 AND 3, APPLE VALLEY, CA 923071358 (Tel: 7608100301)

👤
Provider Name / Credentials Updated October 13, 2017

Recorded as SANDRA LIMON, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2017

Nurse Practitioner (license number reported to NPPES: CA 95003484)

✅
NPI Profile Active September 12, 2016

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) September 12, 2016

Registered at 16085 TUSCOLA RD, SUITE 2 AND 3, APPLE VALLEY, CA 923071358 (Tel: 7608100301)

📍
Business Mailing Address (Initial Record) September 12, 2016

Registered at 16085 TUSCOLA RD STE 2-3, APPLE VALLEY, CA 923071358 (Tel: 7608100301)

👤
Provider Name / Credentials (Initial Record) September 12, 2016

Recorded as SANDRA LIMON, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2016

Nurse Practitioner (license number reported to NPPES: CA 95003484)

🟢
Initial NPI Registration & Enumeration August 29, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1316493406
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2016
Last Update: December 01, 2021
Sole Proprietor: No

Other Nurse Practitioners in Hesperia

Healthcare providers in Hesperia

Mailing Address

12021 Jacaranda Ave Ste 101

Hesperia, CA 923454978

Phone: 7609565057

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.