DR. SALVADOR SANDOVAL JR. (NPI# 1750364030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750364030 |
| Entity Type | Individual |
| Full Name | DR. SALVADOR SANDOVAL JR. |
| Credential | MD |
| Practice Address |
535 W 25th St Merced CA 95340-2838 |
| Mailing Address |
1763 Grogan Ave Merced CA 95341-6455 |
| Practice Telephone | 2097229066 |
| Practice Fax Number | 2093831522 |
| Mailing Telephone | 2097257149 |
| Mailing Fax Number | 2097260134 |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2017-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G32098 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD OF CA PIN | 00G320980 | 01 |
| CA | BOARD CERT # | 028184 | 01 |
| CA | DEA CERT | AS7421706 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639336118 | Salvador Martinez Sandoval | Social Worker | 4222 Encino Ln, Ventura, CA 93001-1105 | 2008-05-21 |
| Street Address |
535 W 25TH ST |
| City | MERCED |
| State | CA |
| Zip Code | 95340-2838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063703759 | Kim Marie Hartwig | Family Medicine | 535 W 25th St, Merced, CA 95340-2838 | 2011-04-28 |
| 1871723858 | Lesley Xiong | Family Medicine | 535 W 25th St, Merced, CA 95340-2838 | 2009-07-23 |
| 1053510685 | Merced Faculty Associates Medical Group Incorporated | Family Medicine | 535 W 25th St, Merced, CA 95340-2801 | 2007-07-13 |
| 1801948724 | Mari Lynn Mockus | Nurse Practitioner | 535 W 25th St, Merced, CA 95340-2801 | 2007-01-18 |
| 1851473623 | Chela Marie Hinesley | Physician Assistant | 535 W 25th St, Merced, CA 95340-2801 | 2006-10-20 |
| 1912018417 | James Eric Adrian | Family Medicine | 535 W 25th St, Merced, CA 95340-2801 | 2006-08-31 |
| 1295846715 | Kathleen Elizabeth Mcloughlin | Family Medicine | 535 W 25th St, Merced, CA 95340-2801 | 2006-08-31 |
| 1063523595 | Jared Arthur Paskin | Family Medicine | 535 W 25th St, Merced, CA 95340-2801 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063045706 | Pharmedquest Pharmacy Services | Pharmacy | 3940 Sandpiper Avenue, Pharmacy 181, Merced, CA 95340 | 2020-02-21 |
| 1548809668 | Michelle Melara | Behavior Technician | 3313 G Street, Suite B, Merced, CA 95340 | 2020-01-06 |
| 1417593070 | Emilio Jose Guzman | Behavior Technician | Autism Learning Partners 3313 G. Street, Suite B, Merced, CA 95340 | 2019-11-19 |
| 1477106383 | Anita Leigh Johnson | Nurse Practitioner | 3349 G Street, Suite C Bldg. K, El Portal Plaza, Merced, CA 95340 | 2019-07-19 |
| 1609439470 | Bobby Shan | Student in an Organized Health Care Education/Training Program | Mercy Medical Center Merced, 315 Mercy Avenue, Ste. 301, Merced, CA 95340 | 2019-04-17 |
| 1508333253 | Golden Valley Health Center | Clinic/Center | 3940 Sandpiper Ave., Merced, CA 95340 | 2018-10-31 |
| 1386136430 | Valley River Orthopedics and Sports Medicine | Orthopaedic Surgery | Valley River Orthopedics & Sports Medicine Inc, 3329 G St Ste A, Merced, CA 95340 | 2018-06-05 |
| 1841702271 | Tou Chang | Pharmacist | 3350 G Street, Merced, CA 95340 | 2017-10-25 |
| 1154842466 | Miller and Skinner Dental Corporation | Dentist | 560 W. 26th St., Merced, CA 95340 | 2017-06-28 |
| 1053859314 | Creative Alternatives, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2025 E. Santa Fe Dr., Merced, CA 95340 | 2017-02-07 |
| Find all providers in zip 95340 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366844862 | Navin Gogna Luthra | Family Medicine | 374 W. Olive Avenue, Suite A, Merced, CA 95348-5768 | 2014-09-16 |
| 1215298054 | Leila Boubshait | Family Medicine | 4218 Berryesa Ave, Merced, CA 95348-8557 | 2012-06-07 |
| 1568752152 | Jacqueline Craig | Family Medicine | 3349 G St Ste C, Merced, CA 95340-0978 | 2011-04-15 |
| 1538458591 | Noshaba Roohi Chughtai | Family Medicine | 378 W Olive Ave Ste A, Merced, CA 95348-3182 | 2011-03-30 |
| 1972801249 | James Michael Raveret | Family Medicine | 3020 N. Rambler Rd., Merced, CA 95348-3223 | 2011-03-10 |
| 1205134111 | Theresa T Chang | Family Medicine | 315 Mercy Ave Ste 301, Merced, CA 95340-8367 | 2011-03-02 |
| 1518119510 | Daniel Brent Leong | Family Medicine | 1573 Esplanade Dr, Merced, CA 95348-9623 | 2008-10-21 |
| 1518167238 | Merced Faculty Associates Medical Group Incorporated | Family Medicine | 378 W Olive Ave Ste B, Merced, CA 95348-3137 | 2007-07-20 |
| 1619176245 | Merced Faculty Associates Medical Group Incorporated | Family Medicine | 374 W Olive Ave Ste B, Merced, CA 95348-3137 | 2007-07-13 |
| 1932240710 | Anupam Khandelwal | Family Medicine | 847 West Childs Avenue, Merced, CA 95340 | 2007-02-12 |
| Find all providers in MERCED | ||||
Please comment or provide details below to improve the information on DR. SALVADOR SANDOVAL JR..
| 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.