Individual provider Active NPI

Oswaldo S Sandoval, M.D.

  • Family Medicine Physician
  • Davie, FL
National Provider Identifier
1861435760
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME65506 Issued in FL
Practice address
7630 SW 34TH MNR Ste 440
Davie, FL 33328-1986
Phone
(954) 866-8615
NPI assigned
Jun 14, 2006
Last updated
Dec 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME65506 FL Primary

Addresses

Primary practice location

7630 SW 34TH MNR Ste 440
Davie, FL 33328-1986

Mailing address

7050 Taft St
Hollywood, FL 33024-3804
Phone (954) 399-9014

Other practice location 1

601 N Flamingo Rd Ste 101
Pembroke Pines, FL 33028-1007
Phone (954) 466-8021

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031211000392 FL Practitioner - Family PracticePractitioner - Emergency Medicine 8628974482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Medical Physicians, LLCGroup PAC ID 4183016991, 13 clinicians

Practice addresses (Care Compare)

6517 Taft St
Hollywood, FL 33024-4062

6517 Taft St
Suite 102
Hollywood, FL 33024-4063
Phone (954) 399-9014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Medical Physicians, LLC CurrentSince Dec 1, 2023 Accepting new patients
Omni Health Center Inc. Past Accepting new patients
Mre Medical Clinic Past Accepting new patients
Med - Care Clinic Inc Family Medicine Past Accepting new patients
Millennium Community Care Corp. PastSince Dec 14, 2005 Accepting new patients
Primary Medical Physicians, LLC PastSince Aug 25, 2025 Accepting new patients
D and Y Medical & Rehabilitation Center Inc. Past Accepting new patients
Medcare Clinic LLC Past Accepting new patients
Primary Medical Physicians, LLC Past Accepting new patients
Health Care & Associates Center, Inc Past Accepting new patients

Locations

7630 SW 34th Mnr
Ste 400
Davie, FL 33328
Phone (954) 399-9014

3800 Johnson St
Ste E
Hollywood, FL 33021
Phone (954) 399-9014

6517 Taft St
Ste 102
Hollywood, FL 33024
Phone (954) 399-9014

7050 Taft St
Hollywood, FL 33024
Phone (954) 399-9014

601 N Flamingo Rd
Ste 304
Pembroke Pnes, FL 33028
Phone (954) 399-9014

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACFDCD

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1861435760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330243804",
            "telephone_number": "954-399-9014",
            "fax_number": "954-367-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7630 SW 34TH MNR STE 440",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333281986",
            "telephone_number": "954-866-8615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 N Flamingo Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330281007",
            "country_code": "US",
            "telephone_number": "954-466-8021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "OSWALDO",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME65506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.