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

Active since October 30, 2007
1199 SHORELINE LN, STE. 310, BOISE, ID 83702(208) 333-1472(208) 333-7757 Get Directions Write a Review

NPPES record last updated: March 11, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sandoval Center For Medicine, Chartered NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDOVAL CENTER FOR MEDICINE, CHARTERED (NPI 1306025036) is a healthcare organization registered as a phlebology in Boise, Idaho and active in the NPI registry since October 2007. The organization lists Jesse Sandoval, President, as its authorized official.

NPPES Registry Identity

NPI1306025036
Entity TypeOrganization
Primary Taxonomy202K00000X
Legal Business NameSANDOVAL CENTER FOR MEDICINE, CHARTERED
Location Address1199 SHORELINE LN, STE. 310Boise, ID 83702-6813
Mailing AddressPo Box 7130Boise, ID 83707-1130 · (208) 333-1472 · Fax (208) 333-7757
Fax(208) 333-7757
Organization SubpartNo
Authorized OfficialJesse SandovalPresident · (208) 333-1472
Enumeration DateOctober 30, 2007
Last NPPES UpdateMarch 11, 2008
NPI 1306025036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhlebologyAllopathic & Osteopathic Physicians
Taxonomy Code202K00000X
License Licensed in ID · O-124
Definition
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.
1199 SHORELINE LN, Boise, ID 83702

Other Identifiers 1

Medicare PIN1376779ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandoval Center For Medicine, Chartered's NPI number?

The NPI number for Sandoval Center For Medicine, Chartered is 1306025036. It was assigned to this organization in the NPPES registry on October 30, 2007.

Where is Sandoval Center For Medicine, Chartered located?

Sandoval Center For Medicine, Chartered is located at 1199 Shoreline Ln Ste. 310, Boise, ID 83702. The listed phone number is (208) 333-1472.

What is Sandoval Center For Medicine, Chartered's specialty?

The primary specialty registered for this NPI is Phlebology with taxonomy code 202K00000X.

When was this NPI record last updated?

The NPPES record for Sandoval Center For Medicine, Chartered was last updated on March 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.