IVETH SANDOVAL MD
NPI 1366995458
Student in an Organized Health Care Education/Training Program in San Joaquin, CA

Active since July 26, 2016PECOS EnrolledAccepts Medicare Assignment
21890 W COLORADO AVE, SAN JOAQUIN, CA 93660(559) 456-5560 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Iveth Sandoval Md NPPES

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

IVETH SANDOVAL MD (NPI 1366995458) is an individual student in an organized health care education/training program in San Joaquin, California and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1366995458
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameIVETH SANDOVALCredential: MD
Location Address21890 W COLORADO AVESan Joaquin, CA 93660-9773
Mailing AddressPo Box 737, 21890 W. Colorado AvenueSan Joaquin, CA 93660-0737 · (559) 456-5560
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 26, 2016
Last NPPES UpdateDecember 6, 2021
NPI 1366995458 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.
21890 W COLORADO AVE, San Joaquin, CA 93660

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

Iveth Sandoval Md 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 ID1456682087
PECOS Enrollment IDI20191014001856
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 7

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

Social Worker (Clinical)
21890 W COLORADO AVE
SAN JOAQUIN, CA 93660
Registered Nurse
21890 W COLORADO AVE
SAN JOAQUIN, CA 93660
Pharmacy (Community/Retail Pharmacy)
21890 W COLORADO AVE
SAN JOAQUIN, CA 93660
Dentist
21890 W COLORADO AVE
SAN JOAQUIN, CA 93660
Physician Assistant
21890 W COLORADO AVE
SAN JOAQUIN, CA 93660
Nurse Practitioner (Psychiatric/Mental Health)
21890 W COLORADO AVE
SAN JOAQUIN, CA 93660
Pharmacist
21890 W COLORADO AVE
SAN JOAQUIN, CA 93660

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 Iveth Sandoval's NPI number?

The NPI number for Iveth Sandoval is 1366995458. It was assigned to this individual provider in the NPPES registry on July 26, 2016.

Where is Iveth Sandoval located?

Iveth Sandoval practices at 21890 W Colorado Ave, San Joaquin, CA 93660. The listed phone number is (559) 456-5560.

What is Iveth 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 Iveth Sandoval enrolled in Medicare?

Yes. Iveth 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 Iveth Sandoval was last updated on December 6, 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.