MR. BRYAN FELIPE SANDOVAL PA-C
NPI 1902450620
Physician Assistant in Lakewood, CA

Active since July 31, 2019PECOS Enrolled
3650 SOUTH ST, LAKEWOOD, CA 90712(562) 633-6353(562) 633-4996 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Bryan Felipe Sandoval Pa-c NPPES

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

MR. BRYAN FELIPE SANDOVAL PA-C (NPI 1902450620) is an individual physician assistant in Lakewood, California, licensed in California (PA58130) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902450620
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. BRYAN FELIPE SANDOVALCredential: PA-C
Location Address3650 SOUTH STLakewood, CA 90712-1502
Mailing Address8559 San Jacinto CtRancho Cucamonga, CA 91730-4338
Fax(562) 633-4996
Sole ProprietorNo
Enumeration DateJuly 31, 2019
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
NPI 1902450620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA58130
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3650 SOUTH ST, Lakewood, CA 90712

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Bryan Felipe Sandoval Pa-c 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.

Areas of Expertise CMS Part B claims 5

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.
95 services40 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
75 services25 patients
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose J7321
Hyaluronan or derivatives like Hyalgan, Supartz, or Visco-3, are used in intra-articular injections for joint pain relief. They help by improving joint lubrication, reducing inflammation, and promoting tissue healing. Each dose is administered directly into the joint space.
52 services11 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
35 services27 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
35 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90712 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 20

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

Internal Medicine (Pulmonary Disease)
3650 SOUTH ST, SUITE 308
LAKEWOOD, CA 90712
Family Medicine
3650 SOUTH ST, SUITE 210
LAKEWOOD, CA 90712
Internal Medicine (Nephrology)
3650 SOUTH ST, SUITE 101
LAKEWOOD, CA 90712
Internal Medicine (Cardiovascular Disease)
3650 SOUTH ST, SUITE 310
LAKEWOOD, CA 90712
Internal Medicine (Pulmonary Disease)
3650 SOUTH ST, SUITE 308
LAKEWOOD, CA 90712
Hearing Instrument Specialist
3650 SOUTH ST, SUITE 208
LAKEWOOD, CA 90712
Orthopaedic Surgery
3650 SOUTH ST, SUITE #411
LAKEWOOD, CA 90712
Family Medicine
3650 SOUTH ST, SUITE 412
LAKEWOOD, CA 90712

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 Bryan Sandoval's NPI number?

The NPI number for Bryan Sandoval is 1902450620. It was assigned to this individual provider in the NPPES registry on July 31, 2019.

Where is Bryan Sandoval located?

Bryan Sandoval practices at 3650 South St, Lakewood, CA 90712. The listed phone number is (562) 633-6353.

What is Bryan Sandoval's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Bryan Sandoval enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Bryan Sandoval was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.