Michael Lee Sandridge, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

6577 Issued in AZ

Practice address

8687 E Via de Ventura Ste 318
Scottsdale, AZ 85258-3351

Phone

(480) 905-8755

Fax

(480) 905-8851

NPI assigned

Oct 19, 2016

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

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Alvin C Burstein, M.D.

  • Psychiatry Physician
  • Scottsdale, AZ
  • NPI 1962553412
  Medicare reassignment

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1396296836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8687 E VIA DE VENTURA",
            "address_2": "STE 318",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583351",
            "telephone_number": "480-905-8755",
            "fax_number": "480-905-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8687 E VIA DE VENTURA STE 318",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583351",
            "telephone_number": "480-905-8755",
            "fax_number": "480-905-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDRIDGE",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-19",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest M Sandoval, R.PH.
• Jesus Eduardo Sandoval
• Michelle Diane Sandoval
• Sarah Imelda Sandoval, OTR/L, MA
• Kumaresan Sandrasegaran, M.D.
• Kara Anne Sands, M.D.
• Lindsey Sandys
• Henry B Sanel, M.D.
• Sanford J. Silverman PHD PC
• Angela Marie Sanford, M.D.

• Physician Assistant in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.