JOHN ANDREW SANDOVAL (NPI# 1952424368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952424368 |
| Entity Type | Individual |
| Full Name | JOHN ANDREW SANDOVAL |
| Credential | PA-C |
| Practice Address |
815 Highway 71 W Suite 1150 Bldg 1 Bastrop TX 78602-3590 |
| Practice Telephone | 5123211098 |
| Practice Fax Number | 5123030885 |
| Mailing Telephone | 5123211098 |
| Mailing Fax Number | 5123030885 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2016-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA00581 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE TX LIC NUM | PA00581 | 01 |
| TX | NATIONAL CERT NUM | 1024681 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1316118219 | John Patrick Sandoval | Physician Assistant | 720 Saint Michaels Dr, Santa Fe, NM 87505-7600 | 2008-03-18 |
| 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 |
815 HIGHWAY 71 W SUITE 1150 BLDG 1 |
| City | BASTROP |
| State | TX |
| Zip Code | 78602-3590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316287659 | Supriya N Patil | Physical Therapist | 815 Highway 71 W, Suite B, Bastrop, TX 78602-3590 | 2013-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467076489 | Eve Barton | Counselor | 1368 Farm-to-market Road, Bastrop, TX 78602 | 2020-06-05 |
| 1679030365 | Pompeyo C. Chavez, M.d., Pllc | Family Medicine | 3101 Hwy 71e, Suite 100, Bastrop, TX 78602 | 2019-02-28 |
| 1477025815 | Anna Slavinsky | Pharmacist | 504 State Highway 71 W, Bastrop, TX 78602 | 2018-12-26 |
| 1770076689 | Frontier Radiology | Clinic/Center | 3101 Highway 71e Suite 108, Bastrop, TX 78602 | 2018-06-14 |
| 1881101301 | The Dentists Pllc | Dentist | 301 Highway 71 W Ste 200, Bastrop, TX 78602 | 2018-01-05 |
| 1598286148 | Roadrunner Ultrasound Equipment, LLC | Physiological Laboratory | 704 Hwy 71 W. Ste C300, Bastrop, TX 78602 | 2017-07-05 |
| 1093252611 | Bastrop Modern Dentistry,pc | Dentist | 1670 Hwy 71 E, Suite A, Bastrop, TX 78602 | 2017-01-20 |
| 1619426301 | Josie Cedillo | Social Worker | 1011 Alley A, Bastrop, TX 78602 | 2016-09-23 |
| 1235508565 | Bonnie Jean Kemnitz | Veterinarian | 2900 Tx-95 North, Bastrop, TX 78602 | 2015-09-16 |
| 1457749558 | Rudy Torres Jr. | Occupational Therapy Assistant | 140 Nanakuli Drive, Bastrop, TX 78602 | 2014-12-26 |
| Find all providers in zip 78602 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912320763 | Cynthia Pokluda | Physician Assistant | 1341 Tx-95, Bastrop, TX 78602 | 2014-01-30 |
| 1659396398 | Carl Ronald Berg | Physician Assistant | 605 Old Austin Hwy, Bastrop, TX 78602 | 2006-07-13 |
| 1619428588 | Sterlington Critical Access Hospital L.l.c | Physician Assistant | 355 W Hickory Ave, Bastrop, LA 71220-4441 | 2016-10-17 |
| 1578963450 | Jose Manuel Perez II | Physician Assistant | 717 Highway 71 W Ste 500, 500, Bastrop, TX 78602-4148 | 2014-08-28 |
| 1679891717 | Chara De'andre Brown | Physician Assistant | 201 Childers Dr, 109, Bastrop, TX 78602-4154 | 2010-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700440 | Heather Weir | Physician Assistant | 7331 Gaston Ave Ste 180, Dallas, TX 75214-4131 | 2020-11-03 |
| 1366042335 | Mary Elizabeth Arnold | Physician Assistant | 12455 Longmire Lakeview, Conroe, TX 77304-1087 | 2020-10-29 |
| 1396345443 | Avery Rhodes Schwartz | Physician Assistant | 2206 Latexo Dr, Houston, TX 77018-1717 | 2020-10-28 |
| 1174123111 | Stephanie Rae Moench | Physician Assistant | 1704 Enfield Rd Apt 102, Austin, TX 78703-3348 | 2020-10-28 |
| 1811596927 | Emily Lau | Physician Assistant | 3848 N Tarrant Pkwy Ste 120, Fort Worth, TX 76244-5422 | 2020-10-20 |
| 1720686116 | Richard Magana | Physician Assistant | 1651 Ridgemar Dr, Grand Prairie, TX 75051-3340 | 2020-10-16 |
| 1295333532 | Victoria Jane Campbell | Physician Assistant | 4412 Young Dr, Carrollton, TX 75010-1144 | 2020-10-09 |
| 1134726763 | Barbara Elizabeth Montoya | Physician Assistant | 3309 Nottingham Dr, Laredo, TX 78043-1202 | 2020-10-06 |
| 1376140400 | April L Thepsoumane | Physician Assistant | 4808 Hale Dr, Austin, TX 78749-3711 | 2020-10-01 |
| 1881291938 | Christine Nicole Nott | Physician Assistant | 13325 Hargrave Rd # 240, Houston, TX 77070-4539 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JOHN ANDREW 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.