BRENDA GISSELA SANDOVAL (NPI# 1437544293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437544293 |
| Entity Type | Individual |
| Full Name | BRENDA GISSELA SANDOVAL |
| Credential | MD |
| Practice Address |
809 82nd Pkwy Myrtle Beach SC 29572 |
| Mailing Address |
536 Jefferson Ave Elizabeth NJ 07201-1107 |
| Practice Telephone | 9082472920 |
| Mailing Telephone | 9082472920 |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2018-06-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD38450 | SC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093341372 | Brenda Sandoval | Case Manager/Care Coordinator | 155 N Occidental Blvd, Los Angeles, CA 90026-4641 | 2020-03-18 |
| 1447892146 | Brenda B Sandoval | Nurse's Aide | 820 34th St, Bakersfield, CA 93301-2283 | 2019-10-14 |
| 1316455777 | Brenda Sandoval | Behavior Technician | 6177 N Thesta St Ste 103, Fresno, CA 93710-8600 | 2018-01-18 |
| 1881995660 | Brenda Sandoval | Rehabilitation Practitioner | 9864 Baldwin Pl, El Monte, CA 91731-2202 | 2010-11-09 |
| Street Address |
809 82ND PKWY |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679577035 | Thomas J Martel | Emergency Medicine | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2005-06-13 |
| 1104455211 | Chad Byrd | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-04-02 |
| 1831727122 | Michael Ladd | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-03-31 |
| 1932737335 | Aditya Ragunathan | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-03-31 |
| 1710515242 | Elise Erin Steinberger | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-03-30 |
| 1962030866 | Mitsy Jannet Moreno | Internal Medicine | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-03-28 |
| 1659908648 | Emma Kaitlyn Rousakis | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-03-27 |
| 1992333819 | Paul Harwood Hargrave | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-03-27 |
| 1134756109 | Oyindamola Awe | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-03-26 |
| 1003443292 | Benjamin Tyler Mckinney | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684576 | Matthew David Zeuschner | Nurse Practitioner | 107 Woodwind Court, Myrtle Beach, SC 29572 | 2020-09-16 |
| 1578191789 | Julia Ruth Nelson | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center- Gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2020-04-01 |
| 1407484835 | Justin Schevers | Student in an Organized Health Care Education/Training Program | 802 82nd Parkway, Myrtle Beach, SC 29572 | 2020-03-31 |
| 1922636919 | Darian Michael Quigg | Student in an Organized Health Care Education/Training Program | 809 82nd Street Parkway, Myrtle Beach, SC 29572 | 2020-03-27 |
| 1881221141 | Jonathan Alden Bryan | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2020-03-26 |
| 1215575238 | Polaris Skin Diagnostics, LLC | Dermatology | 8170 Rourk Street, Suite 100, Myrtle Beach, SC 29572 | 2019-12-20 |
| 1700348711 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 9547 N Kings Hwy, Myrtle Beach, SC 29572 | 2019-04-01 |
| 1154882975 | Michael Kouandjio | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center-gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2019-03-26 |
| 1154880102 | Dylan Chase Morgan | Internal Medicine | Grand Strand Medical Center - Gme Office, 809 82nd Pkwy, Myrtle Beach, SC 29572 | 2019-03-19 |
| 1710446828 | David Redding Kingery Jr. | Student in an Organized Health Care Education/Training Program | Gme Office 809 82nd Parkway, Myrtle Beach, SC 29572 | 2019-03-18 |
| Find all providers in zip 29572 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154880102 | Dylan Chase Morgan | Internal Medicine | Grand Strand Medical Center - Gme Office, 809 82nd Pkwy, Myrtle Beach, SC 29572 | 2019-03-19 |
| 1508398074 | Jacob Vincent Hess | Internal Medicine | Grand Strand Medical Center, 809 82nd Pkwy, Gme Office, Myrtle Beach, SC 29572 | 2017-04-03 |
| 1063751709 | Jga Medical Ventures, P.C. | Internal Medicine | 4798 Woodview Ln, Myrtle Beach, SC 29575-4523 | 2013-01-31 |
| 1083967210 | Drew Medical Group, LLC | Internal Medicine | 2209 Wentworth Dr, Myrtle Beach, SC 29575-5827 | 2012-10-25 |
| 1427353085 | Wellness One, LLC | Internal Medicine | 4736a Hwy 17 Byp S, Myrtle Beach, SC 29588-5616 | 2011-01-12 |
| 1376856310 | Janet Loretta Timmerman | Internal Medicine | 197 Cabana Road, Myrtle Beach, SC 29572 | 2010-07-20 |
| 1457538316 | Solomon Jan | Internal Medicine | 9021 Bella Verde Ct, Myrtle Beach, SC 29579-5110 | 2008-01-23 |
| 1871798348 | Southeast Medical Associates LLC | Internal Medicine | 1301 48th Ave N Ste B, Myrtle Beach, SC 29577-5427 | 2007-06-15 |
| 1548475783 | Natalia Thomas | Internal Medicine | 1111 48th Ave N, Suite 115, Myrtle Beach, SC 29577 | 2007-05-11 |
| 1932247657 | Anthony C Geraci | Internal Medicine | 45 Birch Ln, Suite 500, Myrtle Beach, SC 29572-5602 | 2007-02-02 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29572 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.