SANDOVAL CENTER FOR MEDICINE, CHARTERED
NPI 1306025036
Phlebology in Boise, ID

NPI Status: Active since October 30, 2007

Contact Information

1199 SHORELINE LN
STE. 310
BOISE, ID
ZIP 83702
Phone: (208) 333-1472
Fax: (208) 333-7757

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  • Organization
  • Phlebology

About SANDOVAL CENTER FOR MEDICINE, CHARTERED

This page provides the complete NPI Profile along with additional information for Sandoval Center For Medicine, Chartered, a provider established in Boise, Idaho operating as a Phlebology. The healthcare provider is registered in the NPI registry with number 1306025036 assigned on October 2007. The practitioner's primary taxonomy code is 202K00000X with license number O-124 (ID). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jesse Sandoval D.o. (President)

NPI
1306025036
Provider Name
SANDOVAL CENTER FOR MEDICINE, CHARTERED
Entity Type
Organization
Location Address
1199 SHORELINE LN STE. 310 BOISE, ID 83702
Location Phone
(208) 333-1472
Location Fax
(208) 333-7757
Mailing Address
PO BOX 7130 BOISE, ID 83707
Mailing Phone
(208) 333-1472
Mailing Fax
(208) 333-7757
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-30-2007
Last Update Date
03-11-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Phlebology

Taxonomy Code
202K00000X
Type
Allopathic & Osteopathic Physicians
License No.
O-124
License State
ID
Taxonomy Description
Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JESSE SANDOVAL D.O.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(208) 333-1472

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1376779MEDICARE PIN (08)ID 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1306025036, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 44. The final step is to find the difference between that total and the next multiple of ten (50 - 44 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 0 → 0 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 0 + 6 + 0 + 2 + 1 + 0 + 0 + 6 + 24 = 44

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 44 is 50. The difference is the calculated check digit.

50 - 44 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1306025036.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306025036, enumerated as an "organization" on October 30, 2007.

The provider is located at 1199 SHORELINE LN STE. 310 BOISE, ID 83702 and the phone number is (208) 333-1472.

Phlebology with taxonomy code 202K00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.