LUAR SANDOVAL (NPI# 1821356114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821356114 |
| Entity Type | Individual |
| Full Name | LUAR SANDOVAL |
| Credential | PA-C |
| Practice Address |
Mccornack Rd Bldg 677 Schofield Barracks HI 96857 |
| Mailing Address |
1205 Pikake St Wahiawa HI 96786-6021 |
| Practice Telephone | 8084338224 |
| Mailing Telephone | 9102639158 |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2012-04-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
MCCORNACK RD BLDG 677 |
| City | SCHOFIELD BARRACKS |
| State | HI |
| Zip Code | 96857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750599403 | Tripler Army Medical Center | Clinic/Center | Mccornack Rd Bldg 677, Schofield Barracks, HI 96857 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114542529 | Susan H. Greenia | Marriage & Family Therapist | 673 Ayres Ave, Bdlg 750 Room 136, Schofield Barracks, HI 96857 | 2020-06-11 |
| 1528688215 | Angelika Koreen-gordon | Registered Nurse | Desmond T. Doss Health Clinic, Bldg 682, Schofield Barracks, HI 96857 | 2020-04-22 |
| 1841822863 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Schofield Main Exchange Building, 694 Mccornack Suite Sac19, Schofield Barracks, HI 96857 | 2020-02-07 |
| 1972152528 | Andrea D Raskin | Dental Hygienist | Bldg 660 Mc Cornack Road, Schofield Barracks, HI 96857 | 2019-09-06 |
| 1376190959 | Nicole Felice Bishop | Dental Hygienist | Bldg#678 Mccornack Road, Na Koa Dental Clinic, Schofield Barracks, HI 96857 | 2019-08-20 |
| 1134648728 | Fiorela Ruiz | Social Worker | 471 Brannon Rd. Bldg. 96857, Schofield Barracks, HI 96857 | 2017-09-14 |
| 1821512245 | Jennifer Jo Witt | Nurse Practitioner | 394 Glennan St., Bldg 672 Room 217, Schofield Barracks, HI 96857 | 2017-07-27 |
| 1154842847 | Tracey Lynne Ross | Physical Therapy Assistant | 371 Brannon Road, Building 663, Schofield Barracks, HI 96857 | 2017-07-03 |
| 1205388279 | Amber Marks | Physician Assistant | Us Army Healthcare Clinic, Bldg 677, Schofield Barracks, HI 96857 | 2016-10-26 |
| 1144616442 | Rocky L. Cole | Counselor | 2094 Flagler Rd, Rm. 203a, Schofield Barracks, HI 96857 | 2015-04-13 |
| Find all providers in zip 96857 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891135026 | Jenny Leigh Burkowski | Physician Assistant | U.S. Army Health Clinic, Building 683, Schofield Barracks, HI 96786 | 2013-07-02 |
| 1437120417 | John Smith Geise | Physician Assistant | Building 690 Mccornack Rd, Schofield Barracks, HI 96857 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659853950 | Archnaben Patel | Physician Assistant | 3399 Glennan St, Wahiawa, HI 96786 | 2018-09-04 |
| 1699275040 | Christopher Piel | Physician Assistant | 68-1845 Waikoloa Rd Ste 207, Waikoloa, HI 96738-5581 | 2018-02-12 |
| 1609314269 | Natalie Marie Hammond | Physician Assistant | 73-5618 Maiau St Ste A204, Kailua Kona, HI 96740-2634 | 2017-02-03 |
| 1851795066 | Nicholle Hassell | Physician Assistant | 71 Country Club Rd Apt D, Honolulu, HI 96817-1403 | 2014-10-17 |
| 1528376597 | Crystal Chanel Cabansag | Physician Assistant | 2226 Liliha St Ste 302, Honolulu, HI 96817-1605 | 2010-09-23 |
| 1841449956 | Scott Adam Denny | Physician Assistant | 1010 Pensacola St Fl 5, Honolulu, HI 96814-2118 | 2008-09-12 |
| 1245406958 | Leena Kit Ngee Hong | Physician Assistant | 3030 Pualei Cir, #206, Honolulu, HI 96815-4947 | 2008-05-02 |
| 1518145101 | Kirsten Lesley-browning Darrell | Physician Assistant | 4800d Kawaihau Rd., Ho' Ola Lahu'i Hawaii, Kapaa, HI 96746 | 2008-02-05 |
| 1144404757 | Stacy Vroman | Physician Assistant | 65-1235a Opelo Rd # 6, Kamuela, HI 96743-8401 | 2007-12-19 |
| 1063694594 | Frank J Macali | Physician Assistant | 54-014 Kukuna St Apt B, Hauula, HI 96717-8611 | 2007-11-27 |
| Find all providers with the same taxonomy | ||||
| City | SCHOFIELD BARRACKS |
| Zip Code | 96857 |
Please comment or provide details below to improve the information on LUAR SANDOVAL.
| 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.