ANTHONY SANDOVAL PA
NPI 1396613162
Physician Assistant - Surgical in Phoenix, AZ

Active since October 24, 2025PECOS EnrolledAccepts Medicare Assignment
2601 E ROOSEVELT ST, PHOENIX, AZ 85008(602) 344-5011 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anthony Sandoval Pa NPPES

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

ANTHONY SANDOVAL PA (NPI 1396613162) is an individual surgical provider in Phoenix, Arizona, licensed in Arizona (11502) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Dentistry (2025).

NPPES Registry Identity

NPI1396613162
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameANTHONY SANDOVALCredential: PA
Location Address2601 E ROOSEVELT STPhoenix, AZ 85008-4973
Mailing Address2730 W Rose LnPhoenix, AZ 85017-1738
Sole ProprietorNo
Medical School CMSCreighton University School Of DentistryGraduated 2025
Enumeration DateOctober 24, 2025
Last NPPES UpdateJanuary 28, 2026
NPPES CertifiedJanuary 28, 2026
NPI 1396613162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in AZ · 11502
2601 E ROOSEVELT ST, Phoenix, AZ 85008

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

Anthony Sandoval Pa 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 ID4789164567
PECOS Enrollment IDI20260219001979
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 20

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

Emergency Medicine (Emergency Medical Services)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Internal Medicine
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
General Acute Care Hospital
2601 E ROOSEVELT ST, DEPARTMENT OF MEDICINE
PHOENIX, AZ 85008
Surgery (Trauma Surgery)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Psychiatry & Neurology (Psychiatry)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Plastic Surgery
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Psychiatry & Neurology (Psychiatry)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Internal Medicine
2601 E ROOSEVELT ST
PHOENIX, AZ 85008

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 Anthony Sandoval's NPI number?

The NPI number for Anthony Sandoval is 1396613162. It was assigned to this individual provider in the NPPES registry on October 24, 2025.

Where is Anthony Sandoval located?

Anthony Sandoval practices at 2601 E Roosevelt St, Phoenix, AZ 85008. The listed phone number is (602) 344-5011.

What is Anthony Sandoval's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Anthony Sandoval enrolled in Medicare?

Yes. Anthony 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 Anthony Sandoval was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.