Active NPI
Javier E Sandoval, D.O.
- Family Medicine Physician
- Orlando, FL
National Provider Identifier
1790941268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS9933
- Practice address
- 3151 N Alafaya TRL
Suite 101
Orlando, FL 32826-2945 - Phone
- (407) 207-5000
- Fax
- (407) 207-8920
- NPI assigned
- Aug 4, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS9933 | FL | Primary |
Addresses
Primary practice location
3151 N Alafaya TRL
Suite 101
Orlando, FL 32826-2945
Mailing address
3151 N Alafaya TRL
Suite 101
Orlando, FL 32826-2945
Phone (407) 207-5000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000346400 | Medicaid | FL | |
| 76578 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170619000528 | FL | Order and Referring Only - Family Practice | 6507904331 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert K Law DO PA | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266969600000",
"number": "1790941268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3151 N ALAFAYA TRL",
"address_2": "SUITE 101",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328262945",
"telephone_number": "407-207-5000",
"fax_number": "407-207-8920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3151 N ALAFAYA TRL",
"address_2": "SUITE 101",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328262945",
"telephone_number": "407-207-5000",
"fax_number": "407-207-8920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDOVAL",
"first_name": "JAVIER",
"middle_name": "E",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-04",
"last_updated": "2010-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS9933",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000346400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "76578",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.