Nicole Sandoval, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

407 W Imperial Hwy Ste K
Brea, CA 92821-4841

Phone

(562) 324-4229

Fax

(562) 324-4229

NPI assigned

Jul 31, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1689198723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 W IMPERIAL HWY STE K",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214841",
            "telephone_number": "562-324-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W IMPERIAL HWY STE K",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214841",
            "telephone_number": "562-324-4229",
            "fax_number": "562-324-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "NICOLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA PA LICENSE NUMBER",
            "identifier": "PA54946",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Audrey Sanchez-Tapia
• Elizabeth Sanchez, LMFT
• Jessica Valeria Sanchez
• Norma Sanchez
• Victoria Lauren Sanchez
• Jarod Sanford
• Jed Alan Santa Maria, M.D.
• Diana Santana
• Jorge Paul Santana, D.C.
• Juan Santillan

• Physician Assistant in Brea, CA
• Providers in Brea, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.