Marco Antonio Sandoval Cruz

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

336 S. Jones Blvd
Suite B
Las Vegas, NV 89107-0000

Phone

(702) 953-7910

Fax

(702) 953-2250

NPI assigned

Jan 3, 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

Other names 1

• Marco Antonio Sandoval Cruz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1619516986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 S. JONES BLVD",
            "address_2": "SUITE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891070000",
            "telephone_number": "702-953-7910",
            "fax_number": "702-953-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 S. JONES BLVD",
            "address_2": "SUITE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891070000",
            "telephone_number": "702-953-7910",
            "fax_number": "702-953-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL CRUZ",
        "first_name": "MARCO",
        "middle_name": "ANTONIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCO",
            "last_name": "SANDOVAL CRUZ",
            "middle_name": "ANTONIO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Supriyaa Sandhu
• Isabela Pastora Sandigo Saballos, MD
• Carlissa Sandlin
• Joelle Alexis Sando
• Juliana Sandoval Alvear
• Maria Sandoval de Rodriguez
• Elvira Sandoval Robles
• Cindy Guadalupe Sandoval-Aleman
• Ann Marie Heather Sandoval-Lunn
• Jose Sandoval-Ponce

• Personal Care Attendant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Personal Care Attendant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.