DR. MIREYA CRISTINA SANDOVAL M.D.
NPI 1366820748
Student in an Organized Health Care Education/Training Program in Fresno, CA

Active since May 18, 2015PECOS EnrolledAccepts Medicare Assignment
2505 E DIVISADERO ST, FRESNO, CA 93721(559) 457-5560 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mireya Cristina Sandoval M.d. NPPES

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

DR. MIREYA CRISTINA SANDOVAL M.D. (NPI 1366820748) is an individual student in an organized health care education/training program in Fresno, California and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1366820748
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. MIREYA CRISTINA SANDOVALCredential: M.D.
Location Address2505 E DIVISADERO STFresno, CA 93721-1401
Mailing Address2505 E Divisadero StFresno, CA 93721-1401
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 18, 2015
Last NPPES UpdateDecember 17, 2021
NPI 1366820748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2505 E DIVISADERO ST, Fresno, CA 93721

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Mireya Cristina Sandoval M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739588815
PECOS Enrollment IDI20210521000806
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2505 E DIVISADERO ST
FRESNO, CA 93721
Clinic/Center (Family Planning, Non-Surgical)
2505 E DIVISADERO ST
FRESNO, CA 93721
Clinic/Center (Federally Qualified Health Center (FQHC))
2505 E DIVISADERO ST
FRESNO, CA 93721
Nurse Practitioner (Family)
2505 E DIVISADERO ST
FRESNO, CA 93721
Pediatrics
2505 E DIVISADERO ST
FRESNO, CA 93721
Nurse Practitioner (Family)
2505 E DIVISADERO ST
FRESNO, CA 93721
Pediatrics
2505 E DIVISADERO ST
FRESNO, CA 93721
Nurse Practitioner (Pediatrics)
2505 E DIVISADERO ST
FRESNO, CA 93721

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 Mireya Sandoval's NPI number?

The NPI number for Mireya Sandoval is 1366820748. It was assigned to this individual provider in the NPPES registry on May 18, 2015.

Where is Mireya Sandoval located?

Mireya Sandoval practices at 2505 E Divisadero St, Fresno, CA 93721. The listed phone number is (559) 457-5560.

What is Mireya Sandoval's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mireya Sandoval enrolled in Medicare?

Yes. Mireya Sandoval is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mireya Sandoval was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.