Active NPI
Raul Sandoval Jr., CRNA
- Certified Registered Nurse Anesthetist
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP127178
- Practice address
- 1500 S Main St
Fort Worth, TX 76104-4917 - Phone
- (915) 504-0540
- NPI assigned
- Jan 8, 2015
- Last updated
- Feb 4, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP127178 | TX | Primary |
Addresses
Primary practice location
1500 S Main St
Fort Worth, TX 76104-4917
Mailing address
1500 S Main St
Fort Worth, TX 76104-4917
Phone (915) 504-0540
Other practice location 1
2930 N Stanton St
El Paso, TX 79902-2511
Phone (915) 271-4569
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Paso Ams, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| El Paso Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| Noble Anesthesia Partners, PLLC | Current | Accepting new patients | |
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| El Paso County Hospital District | Past | Accepting new patients |
Locations
9101 N Central Expy
Ste 550
Dallas, TX 75231
Phone (214) 442-0055
125 W Castellano Dr
El Paso, TX 79912
Phone (915) 532-8200
1300 Murchison Dr
Ste 180
El Paso, TX 79902
Phone (915) 544-5000
1620 N Mesa St
El Paso, TX 79902
Phone (210) 660-5040
1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361
2000 Transmountain Rd
El Paso, TX 79911
Phone (915) 247-8893
2930 N Stanton St
El Paso, TX 79902
Phone (915) 271-4569
4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000
3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126
3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Surgical Oncology Associates of South Texas
- Family Medicine Physician
- San Antonio, TX
- NPI 1598958431
-
- Anesthesiology Physician
- El Paso, TX
- NPI 1134740202
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- El Paso, TX
- NPI 1194293076
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Irving, TX
- NPI 1619259553
-
dba University Medical Center of EL Paso
- General Acute Care Hospital
- El Paso, TX
- NPI 1316936990
-
dba Orthopedic Performance Institute
- Durable Medical Equipment & Medical Supplies
- Boerne, TX
- NPI 1730079286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580774400000",
"number": "1205224508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 S MAIN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044917",
"telephone_number": "915-504-0540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S MAIN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044917",
"telephone_number": "915-504-0540"
}
],
"practiceLocations": [
{
"address_1": "2930 N Stanton St",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799022511",
"country_code": "US",
"telephone_number": "915-271-4569",
"fax_number": "915-351-0086",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDOVAL",
"first_name": "RAUL",
"name_suffix": "Jr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-08",
"last_updated": "2020-02-04",
"certification_date": "2020-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP127178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.