MISS SANDRA SAN JUANITA SANDOVAL (NPI# 1942570635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942570635 |
| Entity Type | Individual |
| Full Name | MISS SANDRA SAN JUANITA SANDOVAL |
| Credential | PA-C |
| Practice Address |
3602 County Road 45 Angleton TX 77515-9575 |
| Practice Telephone | 9798642296 |
| Practice Fax Number | 9798642377 |
| Mailing Telephone | 9798642296 |
| Mailing Fax Number | 9798642377 |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA2002 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477032589 | Sandra Sandoval | Occupational Therapy Assistant | 702 E Expy 83 Ste B11, Donna, TX 78537-2743 | 2018-08-09 |
| 1669839072 | Sandra Sandoval | Behavioral Analyst | 14617 Central Ave, Baldwin Park, CA 91706-4314 | 2016-01-15 |
| 1164726170 | Sandra Sandoval | Social Worker | 4000 Birch St Ste 203, Newport Beach, CA 92660-2258 | 2011-01-05 |
| 1487965125 | Sandra J Sandoval | Counselor | 144 S. L Street, Dinuba, CA 93618 | 2010-06-28 |
| 1174858062 | Sandra Stella Sandoval | Registered Nurse | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2009-10-09 |
| 1689855801 | Sandra Sandoval | Case Manager/Care Coordinator | 260 E 15th St, Merced, CA 95341 | 2007-11-15 |
| 1861699720 | Sandra Sandoval | Counselor | 1704 W Manchester Ave, Los Angeles, CA 90047-3034 | 2007-07-02 |
| Street Address |
3602 COUNTY ROAD 45 |
| City | ANGLETON |
| State | TX |
| Zip Code | 77515-9575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725561 | Eve Salinas | Registered Nurse | 610 Cr 199 #11, Angelon, TX 77515 | 2020-06-19 |
| 1861953754 | Ez Pharmacy Group LLC | Pharmacy | 1100 C E Mulberry, Angelton, TX 77515 | 2019-03-25 |
| 1063910230 | Servicios Medicos Para Todos S.a. De C.v. | General Acute Care Hospital | 872-874 Av. Lopez Portillo Sm 59 Mz 37, Unidad Morelos Entre Av. Kabah Y Av. Comalcalco, Cancun, QUINTANA ROO 77515 | 2018-01-23 |
| 1922536671 | Covenant Mobile Healthcare LLC | Nurse Practitioner | Family First Primary Care, 732 E. Henderson Rd, Angleton, TX 77515 | 2017-05-25 |
| 1992254726 | Stephen Ricks Jr. | Nurse Practitioner | 732 E. Henderson Rd, Angleton, TX 77515 | 2016-09-21 |
| 1568849867 | Nancy Vanaphan | Physician Assistant | 146 E Hospital Dr Ste 208, Angleton, TX 77515 | 2015-05-06 |
| 1235560723 | Neuro Analysis Diagnostics | Clinic/Center | 2315 E. Magnolia St., Angleton, TX 77515 | 2013-12-09 |
| 1619308327 | Patricia G. Rios | Speech-Language Pathologist | 120 E. Hospital Dr., Angleton, TX 77515 | 2013-12-05 |
| 1336587716 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 800 N. Arcola, Angelton, TX 77515 | 2013-06-07 |
| 1356620314 | Monica Rose Mehalshick | Contractor | 1820 County Road 36, Serenity Light Recovery LLC, Angleton, TX 77515 | 2011-08-09 |
| Find all providers in zip 77515 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356674121 | Patricia Cornwell | Physician Assistant | 136 E Hospital Dr, Angleton, TX 77515-4161 | 2009-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
| 1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
| 1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
| 1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
| 1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
| 1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
| 1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
| 1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
| 1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
| 1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
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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.