NPIMap

Organization Active NPI

Sandoval Children's Clinic PA

  • Family Medicine Physician
  • Donna, TX
National Provider Identifier
1700184579
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F5736 Issued in TX
Legal business name
SANDOVAL CHILDREN'S CLINIC PA
Practice address
605 N Main St Ste C
Donna, TX 78537-2726
Phone
(956) 464-4406
Fax
(956) 464-0136
NPI assigned
Mar 3, 2011
Last updated
Mar 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Authorized official

Name
Jose T Sandoval, MDNPI 1417913203
Title
President/Owner
Phone
(956) 464-4406

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F5736 TX Primary

Addresses

Primary practice location

605 N Main St Ste C
Donna, TX 78537-2726

Mailing address

605 N Main St Ste B
Donna, TX 78537-2726
Phone (956) 464-4407

National Provider Directory

National Provider Directory

Locations

605 N Main St
Ste C
Donna, TX 78537
Phone (956) 464-4406

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1700184579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N MAIN ST STE B",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "785372726",
            "telephone_number": "956-464-4407",
            "fax_number": "956-464-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N MAIN ST STE C",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "785372726",
            "telephone_number": "956-464-4406",
            "fax_number": "956-464-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDOVAL CHILDREN'S CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "956-464-4406",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F5736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Donna, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.