JOSE SERGIO SANDOVAL P.A.
NPI 1831417138
Physician Assistant - Medical in Los Angeles, CA

Q: What is Jose Sandoval's NPI number?

The NPI number for Jose Sandoval is 1831417138. It was assigned to this individual provider in the NPPES registry on May 11, 2010.

Q: What is Jose Sandoval's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jose Sandoval was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 11, 2010PECOS Enrolled

2933 WHITTIER BLVD, LOS ANGELES, CA 90023(323) 263-2669(323) 263-2673 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jose Sergio Sandoval P.a. NPPES

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

JOSE SERGIO SANDOVAL P.A. (NPI 1831417138) is an individual medical provider in Los Angeles, California, licensed in California (PA15741) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831417138

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameJOSE SERGIO SANDOVALCredential: P.A.

Location Address2933 WHITTIER BLVDLos Angeles, CA 90023-1528

Mailing Address2933 Whittier BlvdLos Angeles, CA 90023-1528 · (323) 263-2669 · Fax (323) 263-2673

Phone(323) 263-2669

Fax(323) 263-2673

Sole ProprietorNo

Enumeration DateMay 11, 2010

Last NPPES UpdateMarch 7, 2023

✔ NPI 1831417138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · PA15741

2933 WHITTIER BLVD, Los Angeles, CA 90023

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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)

Jose Sergio Sandoval P.a. 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers12 claims22 services$1.19 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

MS. CAROLINA CAMACHO PA

Physician Assistant

2933 WHITTIER BLVD
LOS ANGELES, CA 90023

Los Angeles County (323) 263-2669

BELLA MEDICAL GROUP INC

Family Medicine

2933 WHITTIER BLVD
LOS ANGELES, CA 90023

Los Angeles County (323) 263-2669

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 Jose Sandoval's NPI number?

The NPI number for Jose Sandoval is 1831417138. It was assigned to this individual provider in the NPPES registry on May 11, 2010.

Where is Jose Sandoval located?

Jose Sandoval practices at 2933 Whittier Blvd, Los Angeles, CA 90023. The listed phone number is (323) 263-2669.

What is Jose Sandoval's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jose Sandoval enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jose Sandoval was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.