JESUS EDUARDO SANDOVAL
NPI 1821742461
Licensed Vocational Nurse in Scottsdale, AZ

Q: What is Jesus Sandoval's NPI number?

The NPI number for Jesus Sandoval is 1821742461. It was assigned to this individual provider in the NPPES registry on February 11, 2022.

Q: What is Jesus 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 Jesus Sandoval was last updated on February 11, 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.

Active since February 11, 2022

617 N SCOTTSDALE RD STE D, SCOTTSDALE, AZ 85257(480) 990-3720 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jesus Eduardo Sandoval NPPES

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

JESUS EDUARDO SANDOVAL (NPI 1821742461) is an individual licensed vocational nurse in Scottsdale, Arizona, licensed in Arizona (LP054802) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1821742461

Entity TypeIndividualMale

Primary Taxonomy164X00000X

Provider Legal NameJESUS EDUARDO SANDOVAL

Location Address617 N SCOTTSDALE RD STE DScottsdale, AZ 85257-4207

Mailing Address2529 W Cactus Rd Apt 3014Phoenix, AZ 85029-2588 · (623) 853-6282

Phone(480) 990-3720

Sole ProprietorNo

Enumeration DateFebruary 11, 2022

NPPES CertifiedFebruary 11, 2022

✔ NPI 1821742461 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 AZ · LP054802

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.

617 N SCOTTSDALE RD STE D, Scottsdale, AZ 85257

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Other Identifiers 1

OtherD08258128AZ · Driver License Number

Other Providers at the Same Location NPPES 14

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

DESTINY STEWART

Counselor (Addiction (Substance Use Disorder))