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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACQUELINE SANTOS SANDOVAL DO
NPI 1376292235
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 19, 2022PECOS Enrolled
5119 POMONA BLVD, LOS ANGELES, CA 90022(833) 574-2273(866) 455-3867 Get Directions Write a Review

NPPES record last updated: June 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Santos Sandoval Do NPPES

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

JACQUELINE SANTOS SANDOVAL DO (NPI 1376292235) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376292235
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACQUELINE SANTOS SANDOVALCredential: DO
Location Address5119 POMONA BLVDLos Angeles, CA 90022-1711
Mailing Address5119 Pomona BlvdLos Angeles, CA 90022-1711 · (833) 574-2273 · Fax (866) 455-3867
Phone(833) 574-2273
Fax(866) 455-3867
Sole ProprietorNo
Enumeration DateMarch 19, 2022
Last NPPES UpdateJune 27, 2026
NPPES CertifiedJune 27, 2026
✔ NPI 1376292235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
5119 POMONA BLVD, Los Angeles, CA 90022
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Santos Sandoval Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10

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

DR. MARIO ENRIQUE VERA MD
Family Medicine
5119 POMONA BLVD
LOS ANGELES, CA 90022
Los Angeles County (800) 954-8000
AMELIA IWAMOTO
Pharmacist
5119 POMONA BLVD, FIRST FLOOR PHARMACY
LOS ANGELES, CA 90022
Los Angeles County (323) 881-5200
MONICA RODARTE VAN NORDEN MD
Family Medicine
5119 POMONA BLVD
LOS ANGELES, CA 90022
Los Angeles County (323) 783-4011
TALYA ROSE BAKMAJIAN
Pharmacist
5119 POMONA BLVD
LOS ANGELES, CA 90022
Los Angeles County (323) 881-5200
EUGENIE CHAN
Pharmacist
5119 POMONA BLVD
LOS ANGELES, CA 90022
Los Angeles County (323) 881-5200
DR. RAQUEL FRANCO ENRIQUEZ M.D.
Obstetrics & Gynecology
5119 POMONA BLVD, MODULE 1
LOS ANGELES, CA 90022
Los Angeles County (800) 954-8000
FRANCESCA NICOLE GARCIA
Pharmacist
5119 POMONA BLVD
LOS ANGELES, CA 90022
Los Angeles County (323) 881-5200
LINDSEY FACKLER
Pharmacist
5119 POMONA BLVD, 1ST FLOOR PHAMRACY
LOS ANGELES, CA 90022
Los Angeles County (323) 881-2852

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 Jacqueline Sandoval's NPI number?

The NPI number for Jacqueline Sandoval is 1376292235. It was assigned to this individual provider in the NPPES registry on March 19, 2022.

Where is Jacqueline Sandoval located?

Jacqueline Sandoval practices at 5119 Pomona Blvd, Los Angeles, CA 90022. The listed phone number is (833) 574-2273.

What is Jacqueline 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 Jacqueline Sandoval enrolled in Medicare?

Yes. Jacqueline Sandoval is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Sandoval was last updated on June 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.