JESUS SANDOVAL
NPI 1821684580
Nurse Practitioner - Family in Riverside, CA

Active since December 16, 2020PECOS EnrolledAccepts Medicare Assignment
4361 LATHAM ST STE 270, RIVERSIDE, CA 92501(720) 822-3645 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 2, 2026, Aug 11, 2021, Dec 16, 2020 (3 updates tracked since 2020).

About Jesus Sandoval NPPES

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

JESUS SANDOVAL (NPI 1821684580) is an individual family provider in Riverside, California, licensed in California (95016256) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1821684580
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJESUS SANDOVAL
Location Address4361 LATHAM ST STE 270Riverside, CA 92501-4332
Mailing Address4361 Latham St Ste 270Riverside, CA 92501-4332 · (720) 822-3645
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 16, 2020
Last NPPES UpdateJune 2, 20263 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
NPI 1821684580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95016256
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 95016256 (CA)
4361 LATHAM ST STE 270, Riverside, CA 92501

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

Jesus Sandoval 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 ID3577962232
PECOS Enrollment IDI20210528001894
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
202 services178 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
61 services61 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92501 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 4

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

Family Medicine
4361 LATHAM ST STE 270
RIVERSIDE, CA 92501
Nurse Practitioner
4361 LATHAM ST STE 270
RIVERSIDE, CA 92501
Nurse Practitioner (Family)
4361 LATHAM ST STE 270
RIVERSIDE, CA 92501
Clinic/Center (Primary Care)
4361 LATHAM ST STE 270
RIVERSIDE, CA 92501

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 Jesus Sandoval's NPI number?

The NPI number for Jesus Sandoval is 1821684580. It was assigned to this individual provider in the NPPES registry on December 16, 2020.

Where is Jesus Sandoval located?

Jesus Sandoval practices at 4361 Latham St Ste 270, Riverside, CA 92501. The listed phone number is (720) 822-3645.

What is Jesus Sandoval's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jesus Sandoval enrolled in Medicare?

Yes. Jesus 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 Jesus Sandoval was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.