CARLOS MIGUEL SANDOVAL (NPI# 1396915690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396915690 |
| Entity Type | Individual |
| Full Name | CARLOS MIGUEL SANDOVAL |
| Credential | M.D. |
| Practice Address |
3288 Moanalua Rd Honolulu HI 96819-1469 |
| Practice Telephone | 8084328300 |
| Mailing Telephone | 8084328300 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2010-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
MD-15248 | HI | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
A90738 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | HMSA BILLING NUMBER | 0000288944 | 01 |
| HI | 636730-01 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719844 | Carlos Eduardo Sandoval | Dermatology | 800 Pollard Rd Ste A, Los Gatos, CA 95032-1432 | 2019-09-18 |
| 1477026292 | Carlos Sandoval | Chiropractor | 2860 Cerrillos Rd Ste C2, Santa Fe, NM 87507-2326 | 2019-01-03 |
| 1306350905 | Carlos Edwardo Sandoval | Transportation Broker | 7315 Byron Ave Apt 10, Miami Beach, FL 33141-2643 | 2017-11-20 |
| 1073647210 | Carlos Sandoval | Counselor | 204 S 60th Ave, Yakima, WA 98908-3502 | 2007-03-16 |
| 1780625822 | Carlos Sandoval | Psychiatry & Neurology | 99198 Overseas Hwy Ste 5, Key Largo, FL 33037-2437 | 2006-06-09 |
| 1992168843 | Carlos Sandoval | Specialist/Technologist, Other | 11613 Sun Glide Ln, Manor, TX 78653-3779 | 2016-03-29 |
| 1386055135 | Carlos Adrian Sandoval | Anesthesiology | 11234 Anderson St, Gme Office Westerly Suite C, Loma Linda, CA 92354-2804 | 2014-05-14 |
| Street Address |
3288 MOANALUA RD |
| City | HONOLULU |
| State | HI |
| Zip Code | 96819-1469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556124 | Richard Edward Shields | Pharmacist | 3288 Moanalua Rd, Kaiser Permanente Hawaii, Honolulu, HI 96819 | 2005-05-24 |
| 1629681838 | Beatrice Xiaoying Huang | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2020-08-26 |
| 1962014274 | Melissa Kobayakawa | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2020-08-18 |
| 1952910325 | Ashley Mccormick | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2020-07-30 |
| 1891322863 | Elizabeth Mathew | Physical Therapist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2020-03-26 |
| 1548893456 | Dominique Lee | Student in an Organized Health Care Education/Training Program | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2020-02-19 |
| 1861035230 | Mikaela Jazmin Pecson Sampayan | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2019-10-17 |
| 1598316820 | Ben Korthas | Radiology | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2019-09-27 |
| 1033764808 | Rebecca Knight | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2019-08-07 |
| 1275187007 | Chelsea Tasaka | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2019-07-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619507621 | Corrie Sanders | Pharmacist | 450 Patterson Rd, Honolulu, HI 96819 | 2020-01-17 |
| 1245870526 | Ouida Searay Vaillancourt | Dental Hygienist | 339 Mongomery Ave, Honolulu, HI 96819 | 2020-01-14 |
| 1942852660 | Kolea Home Care | In Home Supportive Care | 2229 Kula Kolea Drive, Honolulu, HI 96819 | 2019-07-12 |
| 1164957882 | Kathleen Oliver | Student in an Organized Health Care Education/Training Program | 2229 North School St., Kokua Kalihi Valley Health Center, Honolulu, HI 96819 | 2017-05-01 |
| 1720436058 | Aaron Taniguchi | Physical Therapist | 1740 Ala Aolani St, Honolulu, HI 96819 | 2016-05-26 |
| 1770940892 | Tracy Lynne Khan Fernando | Nurse Practitioner | 2239 N. School St., Kokua Kalihi Valley, Honolulu, HI 96819 | 2016-01-20 |
| 1275961385 | Gavino T. Vinzons M.d, Inc | Family Medicine | 2055 N. King St. Ste 102, Honolulu, HI 96819 | 2013-10-29 |
| 1407195118 | Candace Adeline Schumacher | Licensed Vocational Nurse | 1460 Ala Aolani, Honolulu, HI 96819 | 2013-02-01 |
| 1750629556 | Benjamin L Kilinski | Nurse Practitioner | 1803 Kamehameha Iv Road, Honolulu, HI 96819 | 2013-01-29 |
| 1366701047 | Doreen Anela Oura Ramseyer | Case Manager/Care Coordinator | 1130 N. Nimitz Hwy., C-301, Honolulu, HI 96819 | 2012-05-15 |
| Find all providers in zip 96819 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346660008 | Jae You | Orthopaedic Surgery | 888 S King St # 3, Honolulu, HI 96813-3097 | 2014-04-21 |
| 1790030161 | Elizabeth M. Ignacio, M.d., LLC | Orthopaedic Surgery | 1329 Lusitana St, Ste 801, Honolulu, HI 96813-2429 | 2012-07-20 |
| 1558527408 | Kyle Frederick Chun | Orthopaedic Surgery | 1401 S Beretania St, 750, Honolulu, HI 96814-1870 | 2008-07-31 |
| 1477746154 | Burt E Moritz Iv | Orthopaedic Surgery | 3288 Moanalua Rd, 3rd Floor, Orthopaedics, Honolulu, HI 96819-1469 | 2007-08-24 |
| 1386783975 | Peter Elliott Diamond | Orthopaedic Surgery | 932 Ward Ave, Suite 460, Honolulu, HI 96814-2131 | 2007-02-06 |
| 1063524007 | Darryl M Kan | Orthopaedic Surgery | 1380 Lusitana St, Suite 608, Honolulu, HI 96813-2421 | 2006-08-31 |
| 1407968365 | Jay M Marumoto | Orthopaedic Surgery | 1401 S Beretania St, Suite 750, Honolulu, HI 96814-1870 | 2006-08-31 |
| 1952413973 | Jeffery Kimo Harpstrite | Orthopaedic Surgery | 1380 Lusitana St, Suite 608, Honolulu, HI 96813-2421 | 2006-08-31 |
| 1922110618 | Sydney George Smith | Orthopaedic Surgery | 1380 Lusitana St, Suite 608, Honolulu, HI 96813-2421 | 2006-08-31 |
| 1225061674 | Elizabeth M Ignacio | Orthopaedic Surgery | 1010 S King St, Suite 401, Honolulu, HI 96814-1701 | 2006-07-09 |
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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.