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GARY LEE SANDOVAL
NPI 1922786763
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Albuquerque, NM

Active since July 11, 2023
2111 RAVEN LN SW, ALBUQUERQUE, NM 87105(505) 573-2721 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 21, 2023, Jul 11, 2023 (2 updates tracked since 2023).

About Gary Lee Sandoval NPPES

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

GARY LEE SANDOVAL (NPI 1922786763) is an individual program of all-inclusive care for the elderly (pace) provider organization provider in Albuquerque, New Mexico, licensed in New Mexico (5280) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1922786763
Entity TypeIndividualMale
Primary Taxonomy251T00000X
Provider Legal NameGARY LEE SANDOVAL
Location Address2111 RAVEN LN SWAlbuquerque, NM 87105-4530
Mailing Address2111 Raven Ln SwAlbuquerque, NM 87105-4530 · (505) 573-2721
Phone(505) 573-2721
Sole ProprietorYes
Enumeration DateJuly 11, 2023
Last NPPES UpdateAugust 21, 20232 updates tracked since enumeration
NPPES CertifiedAugust 21, 2023
✔ NPI 1922786763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationAgencies
Taxonomy Code251T00000X
License✔ Licensed in NM · 5280
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
2111 RAVEN LN SW, Albuquerque, NM 87105
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Other Providers at the Same Location NPPES

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

CASA DEL VALLE 1
Assisted Living Facility
2111 RAVEN LN SW
ALBUQUERQUE, NM 87105
Bernalillo County (505) 877-0275

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 Gary Sandoval's NPI number?

The NPI number for Gary Sandoval is 1922786763. It was assigned to this individual provider in the NPPES registry on July 11, 2023.

Where is Gary Sandoval located?

Gary Sandoval practices at 2111 Raven Ln SW, Albuquerque, NM 87105. The listed phone number is (505) 573-2721.

What is Gary Sandoval's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

When was this NPI record last updated?

The NPPES record for Gary Sandoval was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.