OMAR SANDOVAL
NPI 1811704232
Licensed Vocational Nurse in Fresno, CA

Q: What is Omar Sandoval's NPI number?

The NPI number for Omar Sandoval is 1811704232. It was assigned to this individual provider in the NPPES registry on December 18, 2024.

Q: What is Omar Sandoval's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Omar Sandoval was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since December 18, 2024

4411 E CESAR CHAVEZ BLVD, FRESNO, CA 93702(559) 453-1008 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Omar Sandoval NPPES

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

OMAR SANDOVAL (NPI 1811704232) is an individual licensed vocational nurse in Fresno, California, licensed in California (743610) and active in the NPI registry since December 2024. He maintains 4 additional practice locations.

NPPES Registry Identity

NPI1811704232

Entity TypeIndividualMale

Primary Taxonomy164X00000X

Provider Legal NameOMAR SANDOVAL

Location Address4411 E CESAR CHAVEZ BLVDFresno, CA 93702-3604

Mailing Address4411 E Cesar Chavez BlvdFresno, CA 93702-3604 · (559) 453-1008

Phone(559) 453-1008

Sole ProprietorYes

Enumeration DateDecember 18, 2024

NPPES CertifiedDecember 18, 2024

✔ NPI 1811704232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · 743610

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

4411 E CESAR CHAVEZ BLVD, Fresno, CA 93702

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Secondary Practice Locations 4

Location 13133B N Millbrook AveFresno, CA 93703-1425 · Phone (559) 453-1008

Location 23147 N Millbrook AveFresno, CA 93703-1425 · Phone (559) 453-1008

Location 33127 N Millbrook AveFresno, CA 93703-1425 · Phone (559) 453-1008

Location 43520 E Shields Ave Ste 102Fresno, CA 93726-6923 · Phone (559) 538-1230

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.

OCTAVIANA MARTINEZ

Licensed Vocational Nurse