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DR. OMAR FUENTES SANDOVAL MD
NPI 1629574371
Family Medicine in Fresno, CA

Active since April 02, 2018PECOS Enrolled
155 N FRESNO ST, FRESNO, CA 93701(559) 499-6450 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Omar Fuentes Sandoval Md NPPES

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

DR. OMAR FUENTES SANDOVAL MD (NPI 1629574371) is an individual family medicine provider in Fresno, California, licensed in California (A173882) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629574371
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. OMAR FUENTES SANDOVALCredential: MD
Location Address155 N FRESNO STFresno, CA 93701-2302
Mailing Address155 N Fresno StFresno, CA 93701-2302 · (559) 499-6450
Phone(559) 499-6450
Sole ProprietorNo
Enumeration DateApril 2, 2018
Last NPPES UpdateMay 19, 2022
NPPES CertifiedMay 19, 2022
✔ NPI 1629574371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A173882
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
155 N FRESNO ST, Fresno, CA 93701
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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)

Dr. Omar Fuentes Sandoval Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SAAJAN BHAKTA DO
Emergency Medicine
155 N FRESNO ST
FRESNO, CA 93701
Fresno County (559) 499-6440
DR. MIKELA MARIYA PADILLA MD
Student in an Organized Health Care Education/Training Program
155 N FRESNO ST
FRESNO, CA 93701
Fresno County (559) 499-6518
KHALED MOHAMMED SALEH ABDULLAH MBBS
Student in an Organized Health Care Education/Training Program
155 N FRESNO ST
FRESNO, CA 93701
Fresno County (559) 499-6400
ANGELA MARON
Student in an Organized Health Care Education/Training Program
155 N FRESNO ST
FRESNO, CA 93701
Fresno County (599) 499-6540
DR. CHETANNA OKPALEKE AMAZU MD
Student in an Organized Health Care Education/Training Program
155 N FRESNO ST
FRESNO, CA 93701
Fresno County (913) 407-8457
DR. NITIKA NARINDER DHIR M.D.
Pediatrics (Adolescent Medicine)
155 N FRESNO ST, STE 326
FRESNO, CA 93701
Fresno County (559) 499-6466
SANG JO HWANG DO
Internal Medicine (Infectious Disease)
155 N FRESNO ST
FRESNO, CA 93701
Fresno County (559) 499-6400
ABBIGAYLE LASZACS
Student in an Organized Health Care Education/Training Program
155 N FRESNO ST
FRESNO, CA 93701
Fresno County (599) 499-6540

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 Omar Sandoval's NPI number?

The NPI number for Omar Sandoval is 1629574371. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Where is Omar Sandoval located?

Omar Sandoval practices at 155 N Fresno St, Fresno, CA 93701. The listed phone number is (559) 499-6450.

What is Omar Sandoval's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Omar Sandoval enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Omar Sandoval was last updated on May 19, 2022. 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.