JOHN PATRICK SANDOVAL (NPI# 1316118219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316118219 |
| Entity Type | Individual |
| Full Name | JOHN PATRICK SANDOVAL |
| Credential | PA-C |
| Practice Address |
720 Saint Michaels Dr Santa Fe NM 87505-7600 |
| Practice Telephone | 5054389402 |
| Mailing Telephone | 5054389402 |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA2002-0014 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA2002-0014 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952424368 | John Andrew Sandoval | Physician Assistant | 815 Highway 71 W, Suite 1150 Bldg 1, Bastrop, TX 78602-3590 | 2007-04-09 |
| 1811252026 | John Adrian Sandoval | Family Medicine | 2800 E Ajo Way, Family Medicine Department, Tucson, AZ 85713-6204 | 2012-07-13 |
| 1336313824 | John Alexander Sandoval | Surgery | 6215 Humphreys Blvd, Suite #300, Memphis, TN 38120-2367 | 2008-04-16 |
| 1194898122 | John Joseph Sandoval | Anesthesiology | 200 Providence Rd, Suite 101, Charlotte, NC 28207-1468 | 2006-11-16 |
| 1881664670 | John R. Sandoval | Anesthesiology | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2006-01-24 |
| Street Address |
720 SAINT MICHAELS DR |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-7600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215014121 | Elizabeth Ann Vanleeuwen | Dentist | 720 Saint Michaels Dr, Suite O, Santa Fe, NM 87505-7600 | 2006-11-01 |
| 1083223515 | Adriana Vega Wostal | Physical Therapist | 720 Saint Michaels Dr, Santa Fe, NM 87505-7600 | 2020-07-30 |
| 1316438880 | Calmar Inc. | Durable Medical Equipment & Medical Supplies | 720 Saint Michaels Dr, Santa Fe, NM 87505-7600 | 2018-05-21 |
| 1114274453 | Fred Berman | Physical Therapy Assistant | 720 Saint Michaels Dr, Santa Fe, NM 87505-7600 | 2012-08-06 |
| 1447410899 | Miguel Luis Castillo | Physical Therapist | 720 Saint Michaels Dr, Santa Fe, NM 87505-7600 | 2008-06-10 |
| 1225159650 | Perfect Teeth - Plaza Del Sol P.C. | Dentist | 720 Saint Michaels Dr, Suite O, Santa Fe, NM 87505-7600 | 2007-04-03 |
| 1225157720 | Jose B Martinez | Physician Assistant | 720 Saint Michaels Dr, Suite 2b, C, F, Santa Fe, NM 87505-7600 | 2007-03-28 |
| 1427177732 | Jerri L Bryson | Physical Therapist | 720 Saint Michaels Dr, Suite 2b, C, F, Santa Fe, NM 87505-7600 | 2007-03-28 |
| 1558480004 | Melissa L Taylor | Physical Therapist | 720 Saint Michaels Dr, Suite 2b, C, F, Santa Fe, NM 87505-7600 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871674911 | April C. Grisetti | Physician Assistant | 460 Saint Michaels Dr Ste 1104, Santa Fe, NM 87505-7709 | 2006-10-17 |
| 1871673608 | Bonnie J Giacchetti | Physician Assistant | 2055 Pacheco St Ste 600, Santa Fe, NM 87505 | 2006-10-16 |
| 1639192792 | Sheila O'shea Gibbens | Physician Assistant | 820 Paseo Deperlta, Santa Fe, NM 87501-2233 | 2006-07-26 |
| 1740201672 | Danny M Mays | Physician Assistant | 1650 Hospital Dr Ste 800, Santa Fe, NM 87505-4789 | 2006-07-23 |
| 1841217403 | Wabanang Gaiashkibos Kuczek | Physician Assistant | 1600 Saint Michaels Dr, Santa Fe, NM 87505-7615 | 2006-07-17 |
| 1346201704 | Timothy Busch | Physician Assistant | 5 Calle Medico Ste A, Santa Fe, NM 87505-4762 | 2006-03-28 |
| 1649279266 | Bridget Cornell Andrew | Physician Assistant | 1035 Alto St, La Familia Medical Center, Santa Fe, NM 87501-2406 | 2005-07-15 |
| 1730181942 | William T Bacon | Physician Assistant | 1651 Galisteo St, Ste 4, Santa Fe, NM 87505-4752 | 2005-06-01 |
| 1265084883 | Brianna Zuniga | Physician Assistant | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2019-07-13 |
| 1669879771 | Karen Conner | Physician Assistant | 1691 Galisteo St, Suite C, Santa Fe, NM 87505-4780 | 2014-12-04 |
| Find all providers in SANTA FE | ||||
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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.