Active NPI
Osscar Ulysses Gonzalez Sandoval, DO, MS
- Student in an Organized Health Care Education/Training Program
- Sanford, FL
National Provider Identifier
1326838830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1401 W Seminole Blvd
Sanford, FL 32771-6743 - Phone
- (407) 833-7104
- NPI assigned
- May 8, 2025
- Last updated
- May 8, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
1401 W Seminole Blvd
Sanford, FL 32771-6743
Mailing address
1401 W Seminole Blvd
Sanford, FL 32771-6743
Phone (407) 833-7104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250616002996 | FL | Order and Referring Only - Other (Physician) | 0648781740 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Master of Science
Interoperability endpoints
- osscar.gonzalez@hca4.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746662400000",
"number": "1326838830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 W SEMINOLE BLVD",
"city": "SANFORD",
"state": "FL",
"postal_code": "327716743",
"telephone_number": "407-833-7104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 W SEMINOLE BLVD",
"city": "SANFORD",
"state": "FL",
"postal_code": "327716743",
"telephone_number": "407-833-7104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ SANDOVAL",
"first_name": "OSSCAR",
"middle_name": "ULYSSES",
"name_prefix": "Dr.",
"credential": "DO, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-08",
"last_updated": "2025-05-08",
"certification_date": "2025-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.