Antonio Sandoval, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

552 S Paseo Dorotea Ste 2
Palm Springs, CA 92264-1437

Phone

(760) 320-6988

Fax

(760) 320-9796

NPI assigned

May 28, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Albert Anderson MD PC

  • Family Medicine Physician
  • Indio, CA
  • NPI 1295923035
  NPD (past)
• Albert Robert Anderson III a Medical Corporation

  • Family Medicine Physician
  • Hemet, CA
  • NPI 1063156347
  NPD (past)
• Rogelio Drenning-Manrriquez

  • General Practice Physician
  • Riverside, CA
  • NPI 1063999431
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708128000000",
    "number": "1053934729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 S PASEO DOROTEA STE 2",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922641437",
            "telephone_number": "760-320-6988",
            "fax_number": "760-320-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 S PASEO DOROTEA STE 2",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922641437",
            "telephone_number": "760-320-6988",
            "fax_number": "760-320-9796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 E Latham Ave Ste G",
            "address_purpose": "LOCATION",
            "city": "Hemet",
            "state": "CA",
            "postal_code": "925434409",
            "country_code": "US",
            "telephone_number": "951-391-0580",
            "fax_number": "951-391-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81719 Dr Carreon Blvd Ste F",
            "address_purpose": "LOCATION",
            "city": "Indio",
            "state": "CA",
            "postal_code": "922015518",
            "country_code": "US",
            "telephone_number": "760-442-6880",
            "fax_number": "442-300-2206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "ANTONIO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-28",
        "last_updated": "2024-02-17",
        "certification_date": "2024-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucy J Sanchez, M.S. CCC-SLP
• Nataly Sanchez
• Craig C Sanders, P.A.
• Hanna O Sanders, M.D.
• Valiena Sanders
• Robert Mark Sandoval, CATC III
• Rosemary Sandoval
• Lindsey Sanford, DO
• Naira Rose Sanoyan, M.D.
• Miranda Santiago

• All providers in Palm Springs, CA
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.