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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: October 25, 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
Phone(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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jesus Sandoval reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nightingale Clinical Care, PC
Same address
Primary Care
4361 LATHAM ST STE 270
Riverside, CA 92501
  • Reassigned Medicare billing, California enrollment
  • 82 clinicians in this Medicare group
NPI 1972159069 (951) 774-0064
Greater Good Health PC Inc
33 mi
Nurse Practitioner
12353 MARIPOSA RD STE C2
Victorville, CA 92395
  • Reassigned Medicare billing, California enrollment
  • 56 clinicians in this Medicare group
NPI 1356211452 (310) 658-3775
Altea Medical California PC
598 mi
Geriatric Medicine
2353 23RD ST
Eureka, CA 95501
  • Reassigned Medicare billing, California enrollment
  • 111 clinicians in this Medicare group
NPI 1174302954 (888) 408-7008

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MARIA D ORTIZ NURSE PRACTITIONER
Family Medicine
4361 LATHAM ST STE 270
RIVERSIDE, CA 92501
Riverside County (303) 876-2930
EMILY ANGELICA AGITO DELA ROSA FNP-BC
Nurse Practitioner
4361 LATHAM ST STE 270
RIVERSIDE, CA 92501
Riverside County (951) 774-0064
DOUANGCHAY JUDY PHANGRATH FNP
Nurse Practitioner (Family)
4361 LATHAM ST STE 270
RIVERSIDE, CA 92501
Riverside County (559) 285-5946
NIGHTINGALE CLINICAL CARE, PC
Clinic/Center (Primary Care)
4361 LATHAM ST STE 270
RIVERSIDE, CA 92501
Riverside County (951) 774-0064

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.

Which organizations bill Medicare for Jesus Sandoval's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jesus Sandoval reassigns Medicare benefits to 3 organizations: Nightingale Clinical Care, PC (Riverside, CA), Greater Good Health PC Inc (Victorville, CA) and Altea Medical California PC (Eureka, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jesus Sandoval's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 4 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.